Instructions For Optometry License Application printable pdf download

INSTRUCTIONS for OPTOMETRY LICENSE APPLICATION

Acceptable application contains all of the following (please check off):

Application with all items completed (including photographs and required affidavits);

Fee ($150) – Money Order or Certified Check only;

If graduated from optometry school, either final official transcript from optometry school, or

if final transcript is not immediately available, the completed certification by Dean on Part

VIII;

If not graduated and in last semester of optometry school, the completed certification by

Dean on Part VIII; and

Supporting documents only if required by Part III of Application

Additional documents, including fingerprints, will be required prior to issuance of license

GENERAL INSTRUCTIONS

Printing Application

This application is a permanent document. Please print application on quality paper.

Complete every item

If an item does not apply, write “n/a.” Incomplete applications will be returned. Print or

type information.

Name and Social Security Number:

Write or type your name and social security number at the top of every page.

Keep the instructions for your records

Checking off the items required will insure that all required documentation is submitted.

Examination Date Requested

Select the next available examination period by printing or typing the examination period in the

box at the top left of the application (for example, “January 1 – 14, 2014”). Examination peri-

ods are posted on the website.

Examination Administration

The Texas Jurisprudence Examination is administered by the NBEO (National Board of Examin-

ers in Optometry). A timely application to the Texas Optometry Board and registration with the

NBEO are required. The test may be taken on a computer connected to the Internet. See the

NBEO Website for details:

Additional Documents Required Prior to Issuance of License

Additional items that must be submitted prior to the issuance of a license, but may be submit-

ted after application deadline (please check off):

Proof of citizenship (see Part II Instructions)

Fingerprints

Official transcript of all pre-optometry colleges attended

Final official transcript of all optometry colleges attended (optometry school graduates must

submit final transcript with application unless Certification by School is completed in Part

VIII)

License verifications from all states where the applicant is licensed or was previously li-

censed (form available on Texas Optometry Board website)

NBEO scores for Parts I, II, III and TMOD sent directly from NBEO

Copy of document changing name (if applicable)

Military discharge (if applicable)

Note: a fee may be required to obtain these documents

Mailing Application

Mail application to Texas Optometry Board, 333 Guadalupe Street, Suite 2-420, Austin, Texas,

78701. Application must be received by Optometry Board on or before the deadline listed on

the website.

Instructions For Optometry License Application

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