Form Od-01 1016r - Application For Exam & License - Optometrist

Download a blank fillable Form Od-01 1016r - Application For Exam & License - Optometrist in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Od-01 1016r - Application For Exam & License - Optometrist with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

REQUIREMENTS FOR LICENSE - OPTOMETRIST
Access this form via website at: cca.hawaii.gov/pvl
APPLICATION
Complete the online fillable form or print LEGIBLY in dark ink and sign the application.
FORM
Failure to provide all of the requested information will delay the processing of your application.
EACH APPLICANT IS REQUIRED TO MEET THE EDUCATION AND EXAMINATION REQUIREMENTS ACCORDING
TO HAWAII LAWS AND RULES. LICENSURE REQUIREMENTS ARE SUBJECT TO CHANGE AS A RESULT OF NEW
LAWS OR RULES, OR NEW POLICIES AND PROCEDURES ADOPTED BY THE DEPARTMENT OF COMMERCE AND
CONSUMER AFFAIRS IN COOPERATION WITH THE BOARD OF EXAMINERS IN OPTOMETRY ("BOARD"). ALL
APPLICANTS MUST MEET CURRENT LICENSURE REQUIREMENTS.
EDUCATION
Submit a certified copy of your diploma or certificate of graduation from an optometric college, school, or university
approved by the Board and accredited by a regional or professional accreditation organization and recognized by
the council on post-secondary accreditation or by the United States Department of Education.
EXAMINATION
Pass the National Board of Examiners in Optometry (NBEO) Exam Parts I and II after December 31, 1986 and pass the
NBEO Exam Part III after January 1, 1991.
Request the NBEO send an official score report directly to the Board. An application to request a score report can be
found on the internet at the website below or by contacting the NBEO directly.
National Board of Examiners in Optometry
Phone: 800-969-EXAM
200 S. College Street, #2010
Website:
Charlotte, NC 28202
Email:
Please note: Although passing the Treatment and Management of Ocular Disease (TMOD) Exam is not a
requirement at this time, it is required for any licensee who wishes to become therapeutically ("TPA") certified in this
State. You may obtain an application for TPA certification from the Board's website at: cca.hawaii.gov/pvl.
RECIPROCITY
An optometrist who is registered and licensed under the laws of another state or jurisdiction with qualifications for
licensure which are, in the opinion of the Board, equivalent or exceed those of this State, as specified in Chapter 459,
Hawaii Revised Statutes ("HRS"), and Chapter 16-92, Hawaii Administrative Rules ("HAR"), shall be licensed to practice
optometry in Hawaii, subject to all of the following:
1)
The originating state accords like privileges to the licensees of this State;
2)
The educational requirements of the originating state are equivalent to or greater than those of this State, as
specified in section 459-7, HRS;
3)
The applicant has met the requirements of section 16-92-10, HAR;
4)
The applicant has passed the NBEO written and practical examinations in their entirety;
5)
The applicant has been engaged in the practice of optometry or in federal service continuously for not less than
four of the five years immediately preceding the date of application;
6)
The applicant has not committed acts which constitute professional misconduct, gross carelessness or
negligence, or manifest incapacity in the practice of optometry as specified in subchapter 10 of 16-92, HAR, and
(CONTINUED ON PAGE 2)
OD-00 1016R

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Business
Go
Page of 6