Join IDOC Select | Optometry Practice Consultants

Thank you for your interest in IDOC, the optometrist alliance that offers unique solutions to help you meet your independent practice goals! Please complete the form below to enroll in IDOC Select.

Practice Information:

*Practice Name

*Street Address

Address Line 2

* City

* State

* Postal Code

* Phone

Fax

* Does this practice have more than one location? Yes No

Primary OD:

*Title

*First Name

*Last Name

*Email

Create A Password:

*Password

*Confirm Password

You will use the primary contact email address and this password to log into the IDOC website.
Passwords should be at least 6 characters and have at least one uppercase letter, lowercase letter, number and special character. For example: DontUseThis1!

* required fields

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