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.
Optometry Licensure Applicant Instructions
Memo regarding Address of Record
Form A - Application for License to Practice Optometry
Form B - License Verification Application
Form C - Approved Postgraduate TPA Optometric Programs
Form D - Certificate of Training Application
Professional Designation Application Instructions
Professional Designation Application
DPA Application by Endorsement Only
Volunteer Practice Forms:
Volunteer Practice Sponsor Form
Application for Registration for Volunteer Practice