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Partial Practice Membership

NOTE: If you are a current COA member changing to Partial Practice status, you NEED ONLY complete the Certification of Eligibility for Partial Practice form and fax to 303.863.9775 or mail to the COA at the address listed below; then continue to step 2 below.

When applying for Partial Practice membership:

1. Please complete all areas of the application AND Certification of Eligibility for Partial Practice form and fax to 303.863.9775 or mail to:

Colorado Optometric Association
1600 Broadway, Suite 1320
Denver, CO 80202

2. Please do not send dues to the COA unless you receive a statement. Monthly dues statements will be mailed following COA Board approval of your application.

Partial Practice Application (PDF)

Partial Practice Certification Form (PDF)

Application Instructions (PDF)