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Allergan OPTOMETRY JUMPSTART® is a program specifically designed for newly graduated optometrists practicing in the United States and Canada. Members gain access to many exciting resources through a dedicated Allergan sales representative. We invite current optometry students and recent graduates (up to 5 years post graduation) to register for the program.

Program benefits:

Third and fourth year students:

  • 3D patient counseling app for the iPad®

Residents/graduates:

  • Monthly support calls from a dedicated Allergan sales representative
  • Immediate access to samples of REFRESH® Brand Tears
  • Allergan Eye Care prescription product samples for patients who need them
  • 3D patient counseling app for the iPad®
  • Up-to-date information about Allergan Eye Care products
  • Savings programs to help manage costs for eligible patients
  • Patient education and counseling materials
  • Invitations to speaker programs delivered by industry leaders

FREE TO OPTOMETRY JUMPSTART® MEMBERS:

3D patient counseling app for iPad

3D patient counseling app for iPadThis useful tool visually simulates disease progression with anatomical views of 7 common eye conditions. It also brings to life the corresponding patient point of view for impactful discussions with your patients. Sign up for OPTOMETRY JUMPSTART® now to begin getting access to resources like this. App download instructions will be emailed to eligible members of OPTOMETRY JUMPSTART® (third- and fourth-year students, residents, and graduates).


Note: Registration is available anytime during optometry school and up to 5 years post graduation.
Canada Canadian OPTOMETRY JUMPSTART® benefits may vary slightly from the US program. For more information on the Canadian OPTOMETRY JUMPSTART® program, call 1-855-666-3266 or visit www.optometryjumpstart.ca.

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Section A: TO BE COMPLETED BY ALL APPLICANTS
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Your mobile phone number will be used to contact you after graduation to update your contact information.

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Provide school-issued email address only if you intend to use it permanently.

Would you like to receive text messages from the Allergan OPTOMETRY JUMPSTART® program? Examples of texts include messages regarding the status of product sample shipments, appointment scheduling, and other resources. Consent to receive texts is not required as part of the OPTOMETRY JUMPSTART® program.

Yes, I would like to receive text messages from the Allergan OPTOMETRY JUMPSTART® program.

Message and data rates may apply. To stop service at any time, text STOP to 313131 to end all messages. Participating carriers are: Alltel, AT&T, Boost Mobile, C Spire, Cellular One, Cincinnati Bell, Cricket, MetroPCS, Sprint, T-Mobile, US Cellular, Verizon, and Virgin.

Section B: TO BE COMPLETED BY FOURTH-YEAR STUDENTS AND GRADUATES ONLY

Please complete all of the known fields below.

Are you, or will you be, employed by either of the following in the next 12 months?*

Indian Health Service
Veterans Health Administration

If yes, what best describes your employment status with them?*

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My employment is temporary due to my residency placement and is scheduled to end:  

My employment is permanent.

Other, please describe:  

Are you, or will you be, employed by either of the following in the next 12 months?*

Henry Ford Health System
Kaiser Permanente
Section C: TO BE COMPLETED BY ALL APPLICANTS

Yes, I would like to join the Allergan OPTOMETRY JUMPSTART® program and agree to receive future communications from Allergan.* Required







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