Vision Source Next OD Candidate
Associate OD Placement Program powered by Vision Source Next.
About Us
OD Candidate
Questionnaire
Vision Source is pleased to announce the Associate OD Placement Program powered by Vision Source Next. This program is designed to place qualified associate doctors into established private, independent Vision Source practices across the US.

Understanding the impact of student loan debt on practicing optometrists, Vision Source is committed to supporting the profession by providing up to $150,000 in student loan debt relief to associate doctors who choose to join a participating Vision Source practice.

If you interested in learning more and being considered for the program, please complete the following questionnaire in its entirety. Once submitted, we will provide you with more information about program and eligibility requirements.

If you have any questions about completing this form, please contact  helpdesk@visionsource.com.
NOTICE: After completing this form a Vision Source NEXT account will be created for you. If you already have an account, please log in before completing this form.
OD Candidate Information
First Name *
Last Name *
Address Line 1
Address Line 2
City *
State *
State
Zip Code *
Phone Number *
Email Address *
Please answer the following questions:
Which best describes your current status: *
If currently employed, which best describes your practice setting? *
How long have you been searching for an associate position? *
List all states currently licensed to practice *
States
Name of optometry school attended *
Optometry School
What year did you graduate (or plan to graduate)? *
Desired Work States*
States
Do you currently have outstanding student loan debt? *
If selected for the program, would you be willing to serve in a rural, underserved area? *
If selected for the program, how soon would you be available to start? *
May we share your contact information with independent private practice employers participating in this program? *
Please provide any additional information about your current situation you would like to share.
Invalid data. Review the fields in red to correct your data.
When you submit this form, a Vision Source NEXT account will be created using the name and email provided (if one does not already exist). When a new account is created, a welcome email will be sent with instructions on how to set your password and complete your profile. Your VS NEXT account gives you access to many resources to help you start, or buy, a practice, find a great job in private practice , find a mentor, network, and much more. Remember to complete your VS NEXT profile — it will help Vision Source member offices find you when they’re looking to hire a new associate OD.
You have already completed this form. If you have questions, or need to make changes, please contact  helpdesk@visionsource.com.
This email address has already been used to submit this form, and your initial entry has been recorded. If you need to make any updates, please contact  helpdesk@visionsource.com.
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