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Virginia Board of Optometry
Forms & Applications

The below documents are in Microsoft Word format. If you do not have Microsoft Word, you can get the Microsoft® Word Viewer 97/2000 to view and print DHP's documents.

Application Forms:

Applicant Instructions and Application for Optometry Licensure

Professional Designation Instructions and Application

Reinstatement Application

Other Forms:

Applicant License Verification Form

Employment Verification Form

CE Reporting Form

Certificate of Training

Request for Verification of a VA License Form
A Virginia licensee seeking to obtain a verification of his/her license, certification, or registration at no cost may do so by directing a board, employer, insurance provider or other interested parties to License Lookup. This content resource meets the accreditation standards for primary source verification from the top seven-accreditation organizations for healthcare professionals.

Address/Name Change Form

Professional Designation Change Form

Written Evidence for Injections

Volunteer Practice Forms:

Volunteer Practice Sponsor Form

Application for Registration for Volunteer Practice

Continuing Education (CE) Credit Form for Volunteer Practice