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Applications

APPLY ONLINE for the following:

Optometrist
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

The reactivation application has been moved to an online process. To review the requirements and submit your reactivation application online, login to your account at www.pals.pa.gov and click the pencil icon next to your license number.

 

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