Board of Optometry
State of Nevada
Annual Renewal 2018 – please contact the office.
Annual Renewal 2019
Application for License
Controlled Substance Application
Fictitious Name Application
Request for address or location change
Request for Additional Practice Location
Request for Letter of Good Standing
Fill-In Day Request
CE Summary Form
For the Public
Public Complaint Form
Medical Records Retention
Public Records Request Form
Frequently Asked Questions
Verify a License
CE Summary Form
SUMMARY OF CONTINUING EDUCATION INFORMATION
Click here to download and print this form
,O.D. ,License Number
hereby submit copies of documents reflecting attendance at, or completion of pre-approved continuing education courses taken between March 1,
and February 28,
which fulfill the continuing education requirements for renewal for the
license year pursuant to NRS 636.260
I have completed this many hours of approved TPA continuing education
I have completed this many hours of general optometric continuing education, including practice management
I have a DEA number and CS number, and have completed this many hours of substance/opioid abuse related continuing education
Upload ARBO Summary and/or CE attendance certificates
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Maximum File Size limit 10 MB
By submitting this information and checking this box, I affirm that each document is complete and correct and that all information contained in this submission is true under the pains and penalties of perjury and the requirements of NRS Chapter 636 and NAC Chapter 636 and Nevada law generally. I also acknowledge that if I have directed or authorized a person to complete or submit this information on my behalf, I, the optometrist licensed by the Nevada Board of Optometry, am fully responsible for the content of the submission.
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