Keepyoursight Delivers:
Whether you choose to screen yourself once a year or once a month, with each Peristat or Macustat purchase you will receive two tests (one for each eye). Each test is professionally reviewed and results are emailed to you within 24 hours.
Price
The price for two Peristat tests (one for each eye) is: $0.
The price for two Macustat tests (one for each eye) is: $0.
Tests can also be purchased through your doctor. If you have a promotion or a coupon from one of our affiliates, please enter the referral code.
User Registration
Your medical information is kept strictly confidential at all times. Your address and/or e-mail would not be used for marketing purposes without your permission.
It takes only 5 minutes to complete the test. See for yourself.
Acount Data
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:
User Data
First Name:
Last Name:
Year of Birth:
Select
1900
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2009
E-mail:
ZIP:
Telephone (optional):
Gender:
M
F
Race:
Caucasian
African American
Hispanic
Asian
Other
Any of the following apply to me:
Diabetes:
Select
Yes
No
High Blood pressure:
Select
Yes
No
Heart disease:
Select
Yes
No
Stroke:
Select
Yes
No
Active smoker:
Select
Yes
No
Past smoker:
Select
Yes
No
Overweight:
Select
Yes
No
Glaucoma:
Select
Yes
No
High eye pressure:
Select
Yes
No
Dry Macular degeneration:
Select
Yes
No
Wet Macular Degeneration:
Select
Yes
No
Family history of glaucoma:
Select
Yes
No
Family history of macular degeneration:
Select
Yes
No
I use vitamin supplements:
Select
Yes
No
I saw an optometrist in the past 12 months:
Select
Yes
No
I saw an ophthalmologist in the past 12 months:
Select
Yes
No
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