TITLE 18. PROFESSIONAL AND OCCUPATIONAL LICENSING
REGISTRAR'S NOTICE:
Forms used in administering the regulation have been filed by the agency. The
forms are not being published; however, online users of this issue of the
Virginia Register of Regulations may click on the name of a form with a
hyperlink to access it. The forms are also available from the agency contact or
may be viewed at the Office of the Registrar of Regulations, 900 East Main
Street, 11th Floor, Richmond, Virginia 23219.
Title of Regulation: 18VAC105-20. Regulations
Governing the Practice of Optometry.
Contact Information: Elaine J. Yeatts, Senior Policy
Analyst, Department of Health Professions, 9960 Mayland Drive, Suite 300,
Richmond, VA 23233, telephone (804) 367-4688, or email
elaine.yeatts@dhp.virginia.gov.
FORMS (18VAC105-20)
Application Instructions for Licensure/TPA Certification
(rev. 7/08).
Form A, Application for a License to Practice Optometry or
TPA Certification (rev. 7/08).
Diagnostic Pharmaceutical Agents Endorsement Application
(rev. 7/08).
Professional Designation Application (rev. 7/08).
Professional Designation Application Letter (rev. 7/08).
Application for Reinstatement (rev. 7/08).
Form B, Licensure Verification (rev. 7/08).
Application for Registration for Volunteer Practice
(9/07).
Sponsor Certification for Volunteer Registration (9/07).
Form C, Approved Graduate Optometric Programs (12/06).
Form D, Certificate of Training (rev. 7/08).
Application
Instructions for Licensure/TPA Certification (rev. 5/2019)
Application for a License to Practice as a TPA-Certified
Optometrist, online form available at https://www.dhp.virginia.gov/Optometry/optometry_forms.htm.
Professional
Designation Instructions and Application (rev. 5/2019)
Application
for Reinstatement (rev. 5/2019)
Application
for Registration for Volunteer Practice (rev. 5/2019)
Sponsor
Certification for Volunteer Registration (rev. 5/2019)
Certificate
of Training (rev. 5/2019)
Applicant
License Verification Form (rev. 5/2019)
Employment
Verification Form (rev. 5/2019)
Continuing
Education Form (rev. 5/2019)
Continuing
Education Credit Form for Volunteer Practice (rev. 5/2019)
Name/Address
Change Form (rev. 5/2019)
Professional
Designation Change Form (rev. 5/2019)
Written
Evidence for Injections (rev. 5/2019)
VA.R. Doc. No. R19-6043; Filed June 11, 2019, 11:19 a.m.