Indiana Health Care Volunteer Registry

To be included on the registry, optometrists will need to download and complete the Application For Inclusion On Healthcare Volunteer Registry By Individual available at the Indiana Professional Licensing Agency (PLA) website. The form can be returned to the PLA via U.S. mail (address is on the application form) or emailed to

There is no charge to be added to the registry. All information is stored online only and doctors will not receive a card or certificate verifying the registration. Doctors have the option to purchase a card that acknowledges the registration.

If interested, you can read the law online here