Application Forms & Publications

Optometrist

Application Form

Optometry TPA Certification

Application Form

Approved Current Procedural Terminology (CPT) Codes

 

Program Sponsor Agreement for Continuing Education

Fillable Form

Address/Name Change/Duplicate License Request

Application Fillable Form

Abandoned Application Important Notice and FAQ's

Pursuant to §436B-9, Hawaii Revised Statutes, your application shall be considered abandoned and shall be destroyed if you fail to provide evidence of continued efforts to complete the licensing process for two consecutive years.

OPTOMETRIST RENEWAL APPLICATION FORM

Forms to be used only for renewal and restoration of license