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REGULATIONS
Vol. 27 Iss. 25 - August 15, 2011TITLE 18. PROFESSIONAL AND OCCUPATIONAL LICENSINGBOARD OF OPTOMETRYChapter 20FormsTitle of Regulation: 18VAC105-20. Regulations Governing the Practice of Optometry.
Agency Contact: Elaine J. Yeatts, Agency Regulatory Coordinator, Department of Health Professions, 9960 Mayland Drive, Suite 300, Richmond, VA 23233, telephone (804) 367-4688, FAX (804) 524-4434, or email elaine.yeatts@dhp.virginia.gov.
NOTICE: The following forms used in administering the regulation were 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 to access a form. The forms are also available through the agency contact or at the Office of the Registrar of Regulations, General Assembly Building, 2nd Floor, Richmond, Virginia 23219.
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. 3/05).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).
VA.R. Doc. No. R11-2941; Filed July 27, 2011, 1:48 p.m.