Forms

All of our forms are available below to download.
NHOS Membership Forms

Important Information for all Registrants – Effective Date December 1, 2018

Registration of Ophthalmic Dispensers is moving to an electronic application process for new and renewal applicants.

Most initial or renewal applications may be completed via the online licensing system as opposed to the “paper forms”.

Please call the Registration of Ophthalmic Dispensers at 603-271-9254 to request the paper forms if needed. If your registration has expired or lapsed you will need to contact the office in order to reactivate your registration.

Board Staff

Michelle Thibeault, Administrator
michelle.thibeault@oplc.nh.gov
(603) 271-6745
Theresa McGowan
theresa.mcgowan@oplc.nh.gov
(603) 271-6762
Roberta MacLean
roberta.maclean@oplc.nh.gov
(603) 271-9254
(603) 271-6702 (fax)