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Registering with KeepYourSight is free and you can start testing right away. Each test is professionally reviewed and results will be sent to your personal email.

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Your information is kept strictly confidential at all times.

Account

Referral Code:
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User Name: (Must be 4-32 symbols long)
Password: (Must be 5-8 symbols long)
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Profile

First Name:
Last Name:
Year of Birth:
E-mail:
ZIP:
Telephone: (optional)
Gender: M
F
Race:

Any of the following apply to me:

Diabetes:
High Blood pressure:
Heart disease:
Stroke:
Active smoker:
Past smoker:
Overweight:
Glaucoma:
High eye pressure:
Dry Macular degeneration:
Wet Macular Degeneration:
Family history of glaucoma:
Family history of macular degeneration:
I use vitamin supplements:
I saw an optometrist in the past 12 months:
I saw an ophthalmologist in the past 12 months:

I would like to receive an occasional e-mail from Peristat
I would like to receive e-mail offers from carefully chosen business affiliates of Peristat
I would like to receive communications from Peristat and its business partners by US mail in addition to e-mail
I have read the following Terms and Conditions and agree to them