Membership Application Form
Intrigued by the possibilities of membership? Please review Eye Recommend Membership Eligibility Requirements (opens in a new tab) before completing the application form below. You will receive an email confirmation of your submission, and we will contact you once your application has been processed.Please note: this membership application form is specific to optometrists with less than 7 years of working experience looking to open a cold start or buy into an ownership stake at an existing Eye Recommend practice. If you have 7 or more years of experience, please complete the Membership Application Form (7+ years).
Personal Information
Enter your basic personal and contact details.
Practice Information
Optometry Working History
Please enter your current record of employment followed by previous history.