​ The Board is no longer accepting payment checks. All Payments are via Debit/Credit Card ONLY.​ Complete the relevant form below. Use the appropriate links on the form ​​​​​​ to make your payment. Once you make the payment, please attach your payment receipt and a completed roster request or license verification form and email both documents to the Board office at:​ mdh.optometry@maryland.gov​ ​​

• Roster Request Form
  
• Application For Inactive Licensure Status​