Skip Navigation LinksPennsylvania Department of State > Professional Licensing > Boards & Commissions > Optometry > Applications and Forms


APPLY ONLINE for the following:

Additional Practice Location


To download a paper application, click on a link below:

Application for Continuing Education Program Approval (PDF)

Optometrist Request for Continuing Education Approval (PDF)

Volunteer License Application (PDF)

Verification of Opioid Education Form (PDF)

Reactivation Application

(for EXPIRED or INACTIVE licenses)

Optometrist (PDF)

Branch (PDF)



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