South Carolina Board of Examiners in Optometry

Applications/Forms

Online Application:

Below are the links to the forms for the applicable applications. These forms will need to be downloaded, filled out and submitted with the application or as instructed. You may submit the forms in the Uploads sections of the application or mail in to our office. Electronic applications allow you to make payment via Visa/Mastercard or e-check.

1. Download Forms and Instructions needed for the electronic application.
• Affidavit of Eligibility
2. Click here to begin your electronic application

Paper Application:

Licensure Application by Endorsement

Reinstatement Application:

Optometry Reinstatement Application

Mobile Unit Application:

Optometry Mobile Unit

Optometry Mobile Unit Permit Facility Checklist

Other Forms:

Change of Address

Branch Office Registration Form

License Verification Request

Licensee List Request

Name Change Form