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Please read the entire form first, use the checklist and complete the
relevant sections in full.
This form is for individuals who are applying from the European Union (EU)
and/or the European Economic Area (EEA) and wish to join the individual
optometrist register of the General Optical Council (GOC).
Please sign and date the sections marked with this symbol where prompted.
Next steps
Once we have received all of the relevant documents we will send your
application to an independent assessor. The independent assessor will
determine whether or not there are substantial differences between your
qualifications and/or practice compared to UK standards.
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CHECKLIST:
Part 1
Certified copy of your passport’s photo page
Certified copy of your relevant qualification(s).
Employment references from practices you have listed in Part 1,
section 3.2 of the form
If you are applying from Austria, Cyprus, Czech Republic, Denmark,
Finland, Hungary, Ireland, Latvia, Malta, Netherlands, Norway,
Slovakia, Spain, Sweden or Switzerland you must provide evidence
that you are registered with the regulatory body in the country you are
applying from.
Your regulatory body needs to provide a Certificate of Current
Professional Status (CCPS) or equivalent. The CCPS should
comment on your registration status, that the qualification specified in
your application is fully accepted for practice in that Member State,
and if there have been any disciplinary actions that may have been
taken against you.
If you are applying from Belgium, Bulgaria, Croatia, Estonia, France,
Germany, Greece, Iceland, Italy, Liechtenstein, Lithuania,
Luxembourg, Poland, Portugal, Romania or Slovenia you must be
able to demonstrate that you have practised at least one year in the
last ten years. For example, this can be done by way of an employer
reference, company registration details or tax returns for your
company.
Part 2
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Guidance notes for EU/EEA - Optometrist
PART 1
Section 1 – Individual contact details
You must provide a home and email address so communications from the
GOC can reach you without delay. You must notify the GOC of any
changes to your address by emailing international@optical.org.
We request your nationality and passport information to ensure that you are
applying under the correct route to registration and to confirm your identity.
3.1 List the year(s) that you have worked as an optometrist in the member
state you are applying from.
In this section please advise whether you intend to practise in the UK and if
not, the country where you intend to practise.
Section 5 - Declarations
Please ensure that you read the guidance on this section of the form
carefully. You must declare any criminal matters, disciplinary matters,
and/or physical and mental health conditions.
We will also ask for a further declaration about this information at time of
entry to the GOC register should your application be successful. This is to
ensure that we have up to date information.
Please ensure that you tick either the YES or NO box to indicate whether
you wish to make any declarations about criminal and disciplinary matters
and/or physical and mental health. If you tick YES you must provide details
in Section A and/or B. The GOC website provides further guidance in the
section headed ‘Making declarations’:
https://www.optical.org/en/Registration/Making_declarations/index.cfm
The Registration department may contact you to request further details on
your declaration. Failure to respond to an information request will delay your
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restoration application. All data provided in this section of the restoration
form will be kept securely and for no longer than necessary.
Please read the declaration and sign and date the form in the space
provided.
PART 2
Guidance for Part 2 is included on the form.
If you have any queries about this application form or our processes
please contact the Registration department:
Email: international@optical.org
Post: GOC, 10 Old Bailey, London EC4M 7NG
Phone: 020 7580 3898 (option 1).
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GLOSSARY- Words and Phrases
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of your application. When it relates to patient evidence this may
be a logbook or access to the original patient records.
Foundation Refers to knowledge and skills which are required to be
knowledge & achieved by students in order to prepare for achievement of
skills applied knowledge and skills.
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EU/EEA Optometrist Application Form Part 1
PART 1
Section 1 – Individual contact details
Title
First name(s)
Last name
Date of birth
Passport number(s):
Email address
Home address
Town County
Telephone number(s)
YES NO
If you have a current practice address and/or a practice that you intend to
work in if your application is successful, please fill out this section.
Practice address:
Name of practice
Full address
Town County
Telephone number
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EU/EEA Optometrist Application Form Part 1
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EU/EEA Optometrist Application Form Part 1
__________ to __________
3.2 Have you practised, or are you entitled to practise, in other EU/EEA
member states?
EU/EEA member Names and addresses of practices Dates
states (including employer’s name) From To
3.3 Was any diploma or other qualification required by the member state(s)
named in Section 3.2 above? If so, please give details.
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EU/EEA Optometrist Application Form Part 1
Yes
No
Section 5 - Declarations
1. Criminal matters
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EU/EEA Optometrist Application Form Part 1
and any investigation or proceedings that could lead to any of the previous
outcomes. You must provide details of the date, offence, name of court, any
penalty or punishment (including the amount of any fine) and background
circumstances. Attach a separate sheet if necessary.
You must provide full details of any conviction or caution that is ‘spent’ under
the Rehabilitation of Offenders Act 1974, unless it is a ‘protected’ caution or
conviction. You do not need to declare any road traffic offences that have
been dealt with by way of a fixed penalty but you must provide full details of
any road traffic offences that have resulted in a conviction.
The GOC website provides further guidance in the section headed ‘Making
declarations’.
2. Disciplinary matters
Please provide details of any decision by the GOC or another body that
regulates a health or social care profession either in the UK or abroad,
including an NHS primary care organisation (PCO) or health board; any
investigation or proceedings that could lead to a decision by another such
regulator; and any breach of the GOC’s Code of Conduct and/or Standards
of Practice for individual registrants.
You must provide details of the date, incident, name of other regulator, any
sanction and background circumstances. Attach a separate sheet if
necessary.
The attached notes and the GOC website provides further guidance on
declarations in the section headed ‘Making declarations’.
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EU/EEA Optometrist Application Form Part 1
Please provide details of any physical or mental health conditions that, in the
view of a reasonable person, might currently affect your fitness to practise.
You must provide details of the date, nature of the condition, diagnosis and
any treatment required.
I declare that the information given in this form and in the documents
supplied in support of this application, is true and accurate.
I declare that I understand that I must notify the GOC immediately if there
are any changes to the information provided in this application.
Signed: Dated
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EU/EEA Optometrist Application Form Part 2
PART 2
Section 1 – Topics included in initial optometric education and training
a) In respect of each topic listed in column (i), please indicate in column (ii)
whether or not “Theoretical” (T), “Practical” (P) and “Clinical” (C) instruction
has been received in that subject by circling “YES” or “NO” as appropriate.
Definitions
c) Where applicable, please state in column (iv) the number of ‘real patients’
personally examined in the course of training period.
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EU/EEA Optometrist Application Form Part 2
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EU/EEA Optometrist Application Form Part 2
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EU/EEA Optometrist Application Form Part 2
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EU/EEA Optometrist Application Form Part 2
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EU/EEA Optometrist Application Form Part 2
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EU/EEA Optometrist Application Form Part 2
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EU/EEA Optometrist Eligibility Form Part 2
The GOC has defined the competencies which a person must be able to demonstrate
before they are allowed to practise as an optometrist in the UK. These competencies
are listed on the following pages e.g. “1.1.1 Obtains relevant history and information
relating to general health, medication, family history, work, lifestyle and personal
requirements.”
The following is for general guidance on UK levels of training, this is not a statement on
all UK requirements: Before becoming fully registered (licenced) to practise as an
optometrist in the UK the General Optical Council expects a UK graduate to have
carried out during their supervised practise-based training 350 refractive examinations,
at least 30 contact lens fittings and 200 ophthalmic dispensing.
5.1 Please provide answers in the boxes below about your post-qualification
experience only
You must provide answers for each competency (from 1.1.1 – 8.1.7). For the questions
about evidence and supervision simply state ‘Yes’ or ‘No’. You do not need to provide
further explanation.
If you state “no evidence” to support the numbers provided below we will need to
receive confirmation from your employer of the work achieved.
1. Communication
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EU/EEA Optometrist Application Form Part 2
2. Professional Conduct
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EU/EEA Optometrist Application Form Part 2
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EU/EEA Optometrist Application Form Part 2
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EU/EEA Optometrist Application Form Part 2
4. Optical Appliances
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EU/EEA Optometrist Application Form Part 2
Number of patients
5. Contact Lenses
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EU/EEA Optometrist Application Form Part 2
6. Ocular Disease
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EU/EEA Optometrist Application Form Part 2
Number of patients
6.1.6 Manages patients No evidence Evidence available
presenting with cataract. Unsupervised Supervised
practice practice
Number of patients
6.1.7 Manages patients No evidence Evidence available
presenting with red eye/s. Unsupervised Supervised
practice practice
Number of patients
6.1.8 Evaluates glaucoma No evidence Evidence available
risk factors, to detect Unsupervised Supervised
glaucoma and refer practice practice
accordingly.
Number of patients
6.1.9 Manages patients No evidence Evidence available
presenting with macular Unsupervised Supervised
degeneration. practice practice
Number of patients
6.1.10 Recognises, No evidence Evidence available
evaluates and manages Unsupervised Supervised
diabetic eye disease and practice practice
refers accordingly.
Number of patients
6.1.11 Understands the No evidence Evidence available
treatment of a range of Unsupervised Supervised
common ocular conditions. practice practice
Number of patients
6.1.12 Evaluates and No evidence Evidence available
manages patients Unsupervised Supervised
presenting with symptoms practice practice
of retinal detachment.
Number of patients
6.1.13 Recognises ocular No evidence Evidence available
manifestations of systemic Unsupervised Supervised
disease. practice practice
Number of patients
6.1.14 Assesses No evidence Evidence available
symptoms and signs of Unsupervised Supervised
neurological significance. practice practice
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EU/EEA Optometrist Application Form Part 2
Number of patients
6.1.15 Recognises No evidence Evidence available
adverse ocular reactions to Unsupervised Supervised
medication. practice practice
Number of patients
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EU/EEA Optometrist Application Form Part 2
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