Membership Application Form

Interested in becoming a member? Please review the Eye Recommend Membership Eligibility Requirements before completing the application form below. Once submitted, you will receive a confirmation email, and our team will contact you after your application has been reviewed.

Please note: this membership application form is for optometrists with 7 or more years of working experience. If you have less than 7 years of experience, please complete the Membership Application Form (less than 7 years).

Personal Information

Enter your basic personal and contact details.

Practice Information

Note: All practices in which you have an ownership stake must be part of Eye Recommend. You do not need to reapply for those you already own that are currently enrolled.

Optometry Working History

Please enter your current record of employment followed by previous history totalling 7 years.