California Optometric Law Exam – Consultation and Referral Study Chart

The hardest part of the California Optometric Exam is remembering what to do for which condition, in which scenario. The California Optometric Exam Study Book provides a wall of text that is hard to sift through – so for all the visual learners out there I created this time line.

I attempted to break everything up by time and detail. On the top of the chart is CONSULT and the bottom of the chart is REFER. Use this as a visual cue to help you ace the California Optometric Laws and Regulations Exam.

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About Matt Geller

Matthew Geller
Dr. Matt Geller is a technology entrepreneur with a track record of developing successful online platforms to solve problems in the healthcare space. Matt is an optometrist in San Diego and is the founder of, and the co-founder of!


  1. what is the passing score for the law the law exam?

  2. David dally

    Why do you only “Consult” after 1 week if HSV and HSK “get worse” but “refer” after 1 week if those same things “don’t improve” ? Seems backwards to me. Can someone clarify?

    • Matthew Geller

      Hey David – great question. It’s been 3 years since I took the law exam, but I believe we aren’t talking the same HSV and HSZ. You consult if it is HSV os HZV KERATITIS is worse, but you refer is it’s HSV or HZV (non-keratitis) is not improved. Is this what the notes say specifically? Please let us know so we can update this graph for everyone! Thanks!

  3. Cemone Khan-Nakagawa

    I just wanted to say thank you for this chart and all the CA LAW Exam materials you posted on the site! I recently took the exam and passed 🙂 First thing I did was draw this chart out before I even started answering questions. The only things I would add is if an Idiopathic Iritis “recurs” within 1 year, that’s an OMD referral. And if you’re using topical steroids for anti-allergy, “consult” with OMD if condition worsens in 21 days after diagnosis. I think I got both those questions.

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