Hong Kong Regulations

OPTOMETRISTS (REGISTRATION AND DISCIPLINARY PROCEDURE) REGULATION - SCHEDULE 2

(Past version on 30/06/1997).

[sections 7, 9, 14, 23 & 42]

FORM 1
[section 7(1)]

SUPPLEMENTARY MEDICAL PROFESSIONS ORDINANCE (Chapter 359)

OPTOMETRISTS (REGISTRATION AND DISCIPLINARY PROCEDURE) REGULATION

Application for Registration/Provisional Registration as an Optometrist

I ...........................................................................
.................................................... of

(name in both English and Chinese)
...........................................................................
......................................................... being

(correspondence or home address) qualified for registration under
section 12(1)*(a)/(b)/(c)/section 15 of the
Supplementary Medical Professions Ordinance apply for

*registration/provisional registration as an optometrist and request that my
name be placed on Part .................... of the Register.

2. I hold the following qualifications (please state qualifications obtained
in chronological order):

Qualification Issuing Authority Date Issued

3. I have the following professional experience (please state professional
experience obtained in chronological order):

Period Post Title Name of Organization/Company From To

4. My business address(es) *is/are as follows: (English)
...........................................................................
....................................................
...........................................................................
.................................................................. (Chinese)
...........................................................................
...................................................
...........................................................................
..................................................................

5. My telephone numbers are ................................. (Home)
.................................. (Office).

6. I *+have/have not been convicted in Hong Kong or elsewhere of an offence
punishable with imprisonment. I *have/have not been found guilty in Hong Kong
or elsewhere of unprofessional conduct. I *am/am not the subject of an
existing order under section 22(1)(i) or (ii) of the
Supplementary Medical Professions Ordinance.

I declare that the information given in this application is correct to the
best of my knowledge and belief.

Signed at ..................................................
............................................................... the
............... day of ...................... 19 ..... ｝ (Signature of
Applicant)

Before me,

.............................................................
.............................................................. (Name in block
letters) (Signature)

* Optometrist registered in Part I of the
Register/Barrister/Solicitor/Registered medical practitioner/Registered
dentist/Commissioner for Oaths.

Photograph of Applicant

+ Please supply details of conviction.

* Delete as inappropriate.

(47 of 1997 s. 10)

FORM 2A [section 9(1)]

OPTOMETRISTS BOARD

HONG KONG

SUPPLEMENTARY MEDICAL PROFESSIONS ORDINANCE

(Chapter 359)

Certificate of Registration

Number of Register: ......................

This is to certify that
...........................................................................
........................... whose address is
...........................................................................
........................................ and whose photograph appears hereon
was on the ............... day of ......................... 19 ..........
admitted to Part ............ of the Register of Optometrists.

Dated this ........... day of ....................... 19 .........

Photograph

...........................................
Secretary,
Optometrists Board. (L.N. 88 of 2004)

FORM 2B [section 9(2)]

OPTOMETRISTS BOARD

HONG KONG

SUPPLEMENTARY MEDICAL PROFESSIONS ORDINANCE

(Chapter 359)

Certificate of Provisional Registration

Number of Register: ....................

This is to certify that
...........................................................................
........................... whose address is
...........................................................................
........................................ and whose photograph appears hereon
was on the ............... day of ........................ 19 ...........
admitted to Part IV of the Register of Optometrists subject to the
undermentioned conditions.

Conditions imposed pursuant to section 15(3) of the Supplementary Medical 
Professions Ordinance-

Dated this ............ day of .................... 19 ........

Photograph

...........................................
Secretary,
Optometrists Board. (L.N. 88 of 2004)

FORM 3 [section 14]

SUPPLEMENTARY MEDICAL PROFESSIONS ORDINANCE

(Chapter 359)

OPTOMETRISTS (REGISTRATION AND DISCIPLINARY PROCEDURE) REGULATION

Particulars of a Company carrying on the Business of Practising Optometry

Presented by
...........................................................................
...................................... (Name of Company) of
...........................................................................
.............................................................. (Registered
Business Address)
...........................................................................
.................................................................. (Business
Registration Certificate No.)

Particulars of the names and addresses of all persons who are professionally
qualified directors, other directors or managers of the above company in
respect of the business of optometry carried on by it at
...........................................................................
........................
...........................................................................
.................................................................. under the
name of
...........................................................................
......................................

Name in full
Position Cert. of Reg. No.
and Date of Reg.
where Directors
are registered Part
registered
in
Residential
address

and of persons who practise optometry in connection with the business of the
said company in the above.

Name in full
Residential
address
Occupa-
tion
Qualifi-
cations Cert. of
Reg. No.
and Date
of Reg. Part registered
in Duties
performed

Dated this .......... day of ................... 19.........

(Signature) ...................................... (State whether director or
manager or secretary)

FORM 4 [section 23(1)]

SUPPLEMENTARY MEDICAL PROFESSIONS ORDINANCE

(Chapter 359)

OPTOMETRISTS (REGISTRATION AND DISCIPLINARY PROCEDURE) REGULATION

Notice of Inquiry

[Date]

Sir/Madam,

On behalf of the Optometrists Board notice is hereby given to you that, in
consequence of a complaint made against you to the Board/information received
by the Board, an inquiry is to be held into the following charge(s) against
you-

(If the allegation relates to conviction) That you were on the
.................................. day of ........................ 19
.......... at
...........................................................................
......................
...........................................................................
............................................. (specify court recording the
conviction) convicted of
.........................................................................

(set out particulars of the conviction in sufficient detail to identify the
case).

or

(If the charge relates to conduct) That you
.....................................................................
...........................................................................
..................................................................
...........................................................................
..................................................................
...........................................................................
.................................................................. (set out
briefly the facts alleged); and that in relation to the facts alleged you have
been guilty of unprofessional conduct.

or

(If the allegation relates to obtaining registration by fraud or
misrepresentation) That you
...........................................................................
..................................................................
...........................................................................
...................................................... (set out briefly the
facts alleged); and that in relation to the facts alleged you obtained
registration by fraud or misrepresentation.

or

(If the allegation is that the registered optometrist was not qualified, at
the time of his registration, to be registered) That you
...........................................................................
.........
...........................................................................
..................................................................
...........................................................................
...................................................... (set out briefly the
facts alleged); and that in relation to the facts alleged you were not at the
time of your registration qualified to be registered.

or

(If the allegation is that the registered optometrist has not complied with or
is in breach of any condition of his registration or has failed to comply with
the Ordinance) That you ................
...........................................................................
..................................................................
...........................................................................
..................................................................
...........................................................................
...................................................... (set out briefly the
facts alleged).

or

(If the charge or allegation is that an applicant for registration has been
convicted in Hong Kong or elsewhere of any offence punishable with
imprisonment, has been guilty of unprofessional conduct, is not qualified to
be registered in his application for registration, has been guilty of fraud or
misrepresentation or has failed to comply with the Ordinance) That on the
.................... day of ............................ 19 ........ you made
application to the Secretary for registration in accordance with section 13 of
the Supplementary Medical Professions  Ordinance, whereas
...........................................................................
.....................................................
...........................................................................
.................................................................. (set out
briefly the facts alleged); and that in relation to the facts alleged your
name should not be approved to be entered upon the Register.

(Where there is more than one charge or allegation they are to be numbered
consecutively).

Notice is further given to you that on ................. (day of the week) the
............ day of ............................ 19 ......, a meeting of the
Board will be held at ............................................
...........................................................................
................................................................ , at
............... a.m./p.m. to consider the above-mentioned
charge(s)/allegation(s) in a complaint against you, and to determine whether
or not the Board should take any action against you under section
................... (state whether section 13 or 22) of the Supplementary
Medical Professions Ordinance.

You are hereby invited to answer in writing the above-mentioned
charge(s)/allegation(s) and also to appear before the Board at the place and
time specified above, for the purpose of answering such
charge(s)/allegation(s). You may appear in person or by counsel or solicitor.
The Board has power, if you do not appear, to hear and decide upon the said
charge(s)/allegation(s) in your absence.

Any answer, admission, or other statement or communication which you may
desire to make with respect to the said charge(s)/allegation(s) in a complaint
should be addressed to the Secretary.

If you desire to make any application that the inquiry should be postponed,
you should send the application to the Secretary as soon as may be, stating
the grounds on which you desire a postponement. Any such application will be
considered by the Chairman of the Board.

A copy of the Optometrists (Registration and Disciplinary Procedure) 
Regulation is sent herewith for your information.

............................................. Secretary, Optometrists Board.

FORM 5 [section 42(2)]

SUPPLEMENTARY MEDICAL PROFESSIONS ORDINANCE

(Chapter 359)

OPTOMETRISTS (REGISTRATION AND DISCIPLINARY PROCEDURE) REGULATION

Summons to Witness

In the matter of a Disciplinary Inquiry under section 13/section 22 of the
Ordinance:

And in the matter of(1)
...........................................................................
......................... To(2)
...........................................................................
...........................................................

You are hereby summoned to appear before the Optometrists Board at
............................
...........................................................................
.................................. on the ............... day of
................................, at ............. o'clock in the
................................................................. noon to give
evidence touching the matter under inquiry(3) and also to bring with you and
produce(4)
...........................................................................
...............................................................
...........................................................................
..................................................................

Given under my hand this .......... day of ....................... 19 ........

.......................................... Chairman, Optometrists Board.

Note: (1) Insert name of registered optometrist.

(2) Insert name and address of witness.

(3) Delete if not required.

(4) Specify the books, documents or other things to be produced. (Enacted
1994)