Contact Lens Referral List Enrollment

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

Opticians/Contact Lens Technicians Requirements

  • Must be Fellows of the Contact Lens Society of America. (FCLSA).

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

Step 1 of 2

  • Practice Information

  • (Email will not be made public and will be used for NKCF communications only)