OD Referral List Enrollment

Please complete all fields if you would like to be a candidate for the NKCF OD Referral service. Be sure to submit ALL information — partial completion will result in no enrollment.

OD Enrollment Requirements

Optometrists

Must have at least two of the following professional qualifications:

  • Fellow, American Academy of Optometry (FAAO)
  • Diplomate, Cornea, Contact Lens and Refractive Technologies Section of AAO
  • Fellow, Scleral Lens Education Society (FSLS)
  • Member, International Keratoconus Academy

We review every entry. Before beginning the form, we ask that you review the list of requirements above.

Accessibility