Basics of Ophthalmology and Scribing Course Application
Thank you for interest in the online Basics of Ophthalmology and Scribing Course! This is an self-paced course encompassing all the essential subjects to introduce you the field of ophthalmology and scribing. After this course you may wish to pursue JCAHPO Ophthalmic Scribe Certification (OSC) exam. It is designed to make you knowledgeable in basic ophthalmology and also general medical and ophthalmic terminology. There is a quiz after each subject completion and a final exam. Every lecture is pre-recorded with video and PowerPoint presentations. 

The full course tuition is $200 and the course will be available for 90 days after enrollment.

Prior medical or ophthalmological background is preferred but not required. Successful completion of this program does NOT automatically result in certification and does NOT result in college credits. Upon completion of the course, the student may choose take the national Ophthalmic Scribe Certification examination. National certification is administered directly by the Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPO). Students are responsible for making sure they complete all certification requirements. Please see www.jcahpo.org for more details regarding certification.

Please follow the instructions below to get started! If you have any questions about the application process, please do not hesitate to contact us at dana.y.stroud@medstar.net.

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Full Legal Name *
Preferred Name *
Date of Birth *
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Country of Citizenship *
Phone Number (include home, cell and work) *
Email *
Street Address (include city, state, zip code) *
Office Name (leave blank if not currently working in an ophthalmology office)
Manager Name
Manager Phone and Email
Emergency Contact Information (include name, phone number and address) *
How did you hear about this course? *
What is your current position? *
Do you have any ophthalmic certification? *
Do you have any interest in pursuing a higher level of ophthalmic technician certification (COA, COT, COMT)? *
Do you have any questions regarding the course?
I affirm that all statements made in this application are true.  I understand that providing false information, or failure to provide requested information, is just cause for my application to not be considered for appointment and dismissal from University if accepted.  If I am accepted I agree to abide by the rules and regulations of the University.  ______ (initials) *
I understand by sending this application does not admit a student into the college or register a student for classes. ______ (initials) *
Course fees are to be paid directly to the Georgetown University via the online student MyAccess portal.  Information about registration will be included in the acceptance packet.  Once paid, students will have full access to course material, subject quizzes and final exam for ninety (90) days after enrollment. ______ (initials) *
Electronic Signature of applicant:   *
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