Administrative Code

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Virginia Administrative Code
Title 18. Professional And Occupational Licensing
Agency 105. Board of Optometry
Chapter 20. Regulations Governing the Practice of Optometry

FORMS (18VAC105-20).

Application Instructions for Licensure/TPA Certification (rev. 6/2020)

Instructions/Checklist for Reactivation of an Inactive License (rev. 3/2023)

Instructions/Checklist for Reinstatement of a License Following Discipline (TPA-Certified Optometrist)(rev. 3/2023)

Instructions/Checklist for Reinstatement of an Expired License (rev. 6/2020)

Application for Registration for Volunteer Practice (rev. 6/2020)

Sponsor Certification for Volunteer Registration (rev. 6/2020)

Licensure Verification Form (rev. 6/2020)

Employment Verification Form (rev. 6/2020)

Instructions for Completing the Continuing Education (CE) Reporting Form (rev. 6/2020)

Continuing Education Credit Form for Volunteer Practice (rev. 6/2020)

Name/Address Change Form (rev. 6/2020)

Written Evidence for Injections (rev. 6/2020)

Request for Verification of a Virginia License (rev. 6/2020)

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