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Optometrist Applications
Contact PCS for all applications and testing information at:
Professional Credential Services, Inc. (PCS)
Tel. 877-887-9727 (toll free) or 615-880-4225
Website: www.pcshq.com -
Optometry Renewal Instructions
Notice of Office Location
DPA and TPA Certification Information
DPA Certification Application
TPA Certification Application
Sample Rx Check Form - Interactive PDF Version
Interactive PDF files can be filled out and printed using Adobe Acrobat Reader. For example, you can click on a field in text or click on a check-box to check it on or off.Sample Rx Check Form
Verification Request
If you require a certificate of verification to go to another jurisdiction(s), please submit separate verification request forms with applicable fees for each verification requested.-
Online Address Change for Optometrists
The Online Change of Address feature allows you to change your address of record listed in our database. To use this function, you must provide certain information for authorization. -
Change of Name or Request for Duplicate License for Board of Registration in Optometry
This PDF form maybe used to request a name change, address change or a duplicate license. Division of Professional Licensure Complaint Form
Health Care Fraud Complaint Application
Note: The Health Care Fraud Application is for use by insurance companies and fraud agencies.-
Information and Instructions for Application for MA Controlled Substances Registration for Optometrists
by Department of Public Health -
Application for MA Controlled Substances Registration for Optometrists
by Department of Public Health