This is a legal form that was released by the New York State Education Department - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Ophthalmic Dispensing Form 3?
A: Ophthalmic Dispensing Form 3 is a certification form for ophthalmic dispensing licensure in another jurisdiction.
Q: What does the certification of ophthalmic dispensing licensure in another jurisdiction mean?
A: It means that an ophthalmic dispenser is licensed to practice in a different state or country.
Q: Who needs to fill out Ophthalmic Dispensing Form 3?
A: Ophthalmic dispensers who are licensed in another jurisdiction and are applying for licensure in New York need to fill out this form.
Q: What information is required on Ophthalmic Dispensing Form 3?
A: The form requires personal information, details about the applicant's licensure in another jurisdiction, and any disciplinary history.
Form Details:
Download a printable version of Ophthalmic Dispensing Form 3 by clicking the link below or browse more documents and templates provided by the New York State Education Department.