Optometry seal

Oregon Board of Optometry

1500 Liberty Street SE, Suite 210
Salem OR 97302
Phone: (503)399-0662
Fax: (503)399-0705
email: cathy.boudreau@oregon.gov

Applications for Licensure and Certification

The Oregon Board of Optometry has made various forms available in Adobe's PDF Format. Adobe Acrobat Reader is free software that lets you view and print Portable Document Format (PDF) files.

Applications to renew a current license are not available at this site. If you are a licensee and would like another copy of your license renewal application, please contact the office of the Board.


  Application for Examination and Licensure


  Instructions for Application for Examination and Licensure and Check List

  **  Application for Examination and Licensure for Certification to Use Topical Therapeutic Pharmaceutical Agents
     SEE BELOW

  **  Application for Examination and Licensure for Certification to Use Nontopical Therapeutic Pharmaceutical Agents - "AT" Certification
     SEE BELOW    - Please note rules regarding Nontopical Pharmaceutical Agent Certification and Minimum Licensing Standards  OAR 852-020-0070

  **  Application for Examination and Licensure for Certification to Use Nontopical Therapeutic Pharmaceutical Agents With Injections - "ATI" Certification
     SEE BELOW

You may read an overview of the conditions for the use of the non-topical formulary.

   **  ATTENTION NEW APPLICANTS: DO NOT USE THESE FORMS WHEN APPLYING FOR INITIAL LICENSURE IN OREGON.
    New licenses will be issued at the highest pharmaceutical certification for which an applicant qualifies.

  Instructions for Reinstating a Lapsed License


  Application for Reactivation of an optometry license from Inactive to Active Status


  Portable Multiple-Location License Order form.


  Additional Practice Location Notification and/or Change of Address Notification


  Continuing Education Reporting Form


 How to submit Continuing Optometric Education for Review


  Limited Liability Registration Form


  Wall Certificate Order Form


  Licensee List Order Form


This page was last revised: OCTOBER 10, 2014

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