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 graduated from a college of optometry and completed advanced training in contact lens and cornea disease through a formal residency.  In addition, optometrists must have an additional qualification including Diplomate, Cornea, Contact Lens and Refractive Technologies Section of AAO, Fellow, Scleral Lens Education Society (FSLS), Fellow, American Academy of Optometry (FAAO) or membership  in International Keratoconus Academy.  Optometrists who have not completed a formal cornea and contact lens residency must have two additional qualifications.

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

Step 1 of 3

  • Practice Information

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