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Maryland Department of Health
Board of Examiners in Optometry

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  • BOARD OF EXAMINERS IN OPTOMETRY
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Forms

 

Active Practice Affidavit
Adverse Reaction to Ophthalmic Drugs Definition and Reporting Form
Application for Approval of Clinical Observation for Continuing Education
Application for Inactive Status Licensure
​Application for use of Diagnostic Pharmaceutical Agents
Public Information Act 
Complaint Form
Continuing Education Sponsor's Application
License Verification Form 
Pro Bono Form and Instructions
CJIS Instructions for Out of State Licensees/Applicants Completing Fingerprint card.​
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Maryland Department of Health
201 W. Preston Street, Baltimore, MD 21201
(410)767-6500 or 1-877-463-3464
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