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Kentucky Board of Optometric Examiners

Kentucky Board of Optometric Examiners

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Applicants

  • Licensure
  • Examination Information
  • License Renewal
  • Expanded Therapeutic Procedure Applications
  • Dispensing Practice

Expanded Therapeutic Procedure Applications

Page Content

​​​Select the appropriate application. Completed applications should be forwarded to the Kentucky Board of Optometric Examiners.

 
  • Application for New Applicant to be credentialed to utilize Expanded Therapeutic Procedures [PDF, 107 KB]
  • Application for KY optometrist (licensed prior to June 8, 2011) to be credentialed to utilize Expanded Therapeutic Procedures [PDF, 91 KB]
  • Application for Endorsement to be credentialed to utilize Expanded Therapeutic Procedures [PDF, 91 KB]
  • Application to utilize Expanded Therapeutic Laser Procedure(s) ALT; SLT; LPI or Capsulotomy [PDF, 76 KB]
  • Preceptor Approval Form [PDF, 93 KB]
  • Application to teach Expanded Therapeutic Procedures Course [PDF, 79​ KB]
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Kentucky Board of Optometric Examiners
100 Consumer Lane
Frankfort, KY 40601
Get Directions to our main office in Frankfort
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