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Low Vision Certification Application
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Low Vision Certification Process
PURPOSE: The Michigan Optometric Association's low vision certification process is designed to assist licensed optometrists with a dedicated interest to enhance their expertise and demonstrate competency in the provision of low vision care. Clinical experience, written case studies, and academic proficiency contribute to the certification process.
REQUIREMENTS
The process of certification involves 1) application, 2) case reports, 3) interview and 4) written/oral and clinical examination. Certification is a process of self-education. Thus, it is not necessary to complete all parts of the process at any one time.
Application for MOA Certification in Low Vision
Please complete all of the following fields and submit necessary information. A $50.00 non-refundable fee must be submitted with this application. (This does not include the subsequent examination fee of $100.00 which is payable to Ferris State University, College of Optometry).
First Name
*
Last Name
*
Practice/Organization
*
Practice Phone Number
Email Address
*
Address Line 1
*
City
*
State
*
Zip/Postal Code
*
Optometry School Attended
Low Vision Care experience
Upload a description of your experience in low vision care, including special experiences such as residencies, papers, courses, teaching, etc.
Upload
*
Upload a description of your experience in low vision care, including special experiences such as residencies, papers, courses, teaching, etc.
Low Vision equipment/devices
Upload a list of low vision equipment and/or devices in your office or at your disposal (it is not necessary to include routine refracting equipment).
Upload
*
Upload a list of low vision equipment and/or devices in your office or at your disposal (it is not necessary to include routine refracting equipment).
Case Reports
Eight (8) case reports must be submitted which demonstrate your techniques in caring for a variety of low vision patients.
For faster application processing, please upload this document.
These need not accompany this application.
If not submitted today, the interview committee will request these reports at a later date.
Upload
Eight (8) case reports must be submitted which demonstrate your techniques in caring for a variety of low vision patients.
Interview
An interview will be scheduled following approval of the case reports. Upon approval of the interviewing committee, you will be required to complete a written examination administered by the Michigan College of Optometry.
Agreement
*
I understand that my initial and continuing certification depend upon my practice in an ethical and competent manner and my contribution to the body of knowledge on low vision care. I further understand that I may be certified for a period not to exceed five (5) years. In the event certification is withdrawn, for any reason, I agree to immediately return all evidence of certification (including certificates issued) to the offices of the Michigan Optometric Association.
I agree
or
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11/13/2025 » 11/16/2025
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