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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.

If you have a referral code form one of our partners or affiliates, please make sure to enter it during sign-up.

Your information is kept strictly confidential at all times.


Referral Code:
Please leave this field blank if you do not have a referral code.
User Name: (Must be 4-32 symbols long)
Password: (Must be 5-8 symbols long)
Retype Password:


First Name:
Last Name:
Year of Birth:
Telephone: (optional)
Gender: M

Any of the following apply to me:

High Blood pressure:
Heart disease:
Active smoker:
Past smoker:
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