Application form for CPD exceptions

If you require assistance in completing this form, reasonable adjustments in making your application, or information in relation to your CPD requirements, please contact our CPD team on 020 7307 9488 or by email at cpd@optical.org or access your CPD record on MyCPD.

First name *

Last name(s) *

GOC number *

Contact telephone number *

Email address *

Confirm your email address *

Date of your application *

Date(s) of circumstance(s) that caused non-compliance with CPD *

Date(s) in cycle where you have been practising *

Length of time in practice *

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