Oregon Board of Optometry

1900 Hines Street SE, Suite 290 Salem OR 97302 Phone: (503)399-0662 Fax: (503)399-0705 email: board@oregonobo.org

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.

  Additional Practice Location Notification and/or Change of Address Notification


  Continuing Education Reporting Form


  Wall Certificate Order Form


  Licensee List Order Form

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This page was last revised: OCTOBER 12, 2011

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