Contact Lens Dispensing Permit Program Applications-Forms

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Obtain a copy of the following publications now - click on your selection.

Military Service Member, Veteran, or Military Spouse Supplemental Form

Contact Lens Dispensing Permit Application Packet - Individual or Sole Proprietor (Word format, 53 KB)
Contact Lens Dispensing Permit Application Packet - Individual or Sole Proprietor (Adobe Acrobat format, 49 KB)

Contact Lens Dispensing Permit Application Packet - Corporation or Other Business Entity (Word format, 48 KB)
Contact Lens Dispensing Permit Application Packet - Corporation or Other Business Entity (Adobe Acrobat format, 28 KB)

Contact Lens Dispensing Permit Renewal Form (Word format, 89 KB)
Contact Lens Dispensing Permit Renewal Form (Adobe Acrobat format, 54 KB)

Notice to School Superintendents and Nursing Staff, English language version (MSWord format, 32 KB)
Notice to School Superintendents and Nursing Staff, Spanish language version (MSWordformat, 34 KB)

To access documents in Adobe Acrobat format, you must download the Acrobat Reader software. Please see the DSHS file viewing page for more information and a link to the Adobe website.

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Last updated February 24, 2015
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    Contact Lens Dispensing Permit Program