Application for Status as a Student Contact Lens Fitter

Application for Status as a Student Contact Lens Fitter

Name
Address
Work Location
You will be notified if the course you intend to take has not been accredited by NACOR / approved by the Board

Student’s Declaration:

I hereby make application to be a Contact Lens Fitter in Training. I understand that any delegation without direct supervision of the tasks dealing with Contact Lens Fitting is not permitted. All tasks dealing with the fitting of contact lenses (initial visits, all fittings, measurements, adjustments, follow-up visits, etc.) must be completed under the direct supervision of a licensed certified Contact Lens Fitter (or Optometrist) approved by the Board and who actively fits and dispenses contact lenses as part of their practice. To do so otherwise may cause my name to be removed from the student registry; following a hearing of the offence, my license to practice as a Dispensing Optician may be suspended or my name may be removed from the registry.

Max. file size: 64 MB.
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Max. file size: 64 MB, Max. files: 2.
    Drop files here or
    Max. file size: 64 MB, Max. files: 2.