Get Clinical Optometry Update & Review Registration ... - Ttuhsc

This guide provides clear and supportive instructions on how to complete the CLINICAL OPTOMETRY UPDATE & REVIEW REGISTRATION form. Follow the steps outlined to ensure that your registration is completed accurately and efficiently.

Follow the steps to complete your registration form.

1. Press the ‘Get Form’ button to acquire the registration form and open it in the online editor.
2. Begin filling out the form by providing your last name and first name in the designated fields. Ensure that you PRINT clearly using blue or black ink.
3. Enter your street address, followed by your city, state, and zip code in the appropriate sections.
4. Provide your state license number in the specified field.
5. Include your telephone number for any necessary contact.
6. Input your COPE/ARBO ID number if applicable.
7. Fill in your email address to ensure you receive confirmation and updates regarding your registration.
8. For payment, tick the appropriate box for either Check Enclosed or MasterCard/VISA. If paying by check, make it payable to 'TTUHSC - Ophthalmology' and mail it to the specified address. If paying by credit card, enter the credit card number and the name as it appears on the card.
9. Complete the remaining credit card information, including expiration date, 3-digit security code, cardholder's signature, and card's billing zip code.
10. Once all fields are filled, review your information for accuracy. Users can save changes, download, or share the form as required.

Complete your registration form online today!