Registration

Thank you for your interest in registering with MyVisionTest!

Before proceeding, please familiarize yourself with our terms and conditions, and our privacy statement. By registering with MyVisionTest, you imply that you have read, understand, and will abide by these documents.

You must have access to a valid email address to register with MyVisionTest. You will use your email address as your log-in ID, in addition to a confidential password that you select. If you currently do not have access to an email account, or have forgotten your email address, please consult your internet service provider to obtain one.

The registration process has 2 steps. You will not have access to the vision test until you have completed both steps.

  1. Complete the below form. Required information is marked. Optional information will help us better serve you and will assist us in improving our services.

  2. Activate your membership. Before you can log into the site you must activate your account either by clicking the link in the email that you receive or using this form. This confirms that the email address that you supplied to us is valid and belongs to you.

Didn't get the confirmation email? Have it sent again
MyVisionTest Registration Form
First Name: (REQUIRED)
Last Name: (REQUIRED)
Email: (REQUIRED)
Confirm Email: (REQUIRED)
 
Diagnosis:



     Specify:
 
Date of Birth:          
 
Sex:

 
Password: (REQUIRED)
Confirm Password: (REQUIRED)

    

ATTENTION HOTMAIL AND AOL USERS: Delivery of email from MyVisionTest to Hotmail and AOL accounts has been very unreliable. If you must use a Hotmail or AOL email address, please contact me and I will manually activate your account. However, please be aware that because of spam filters at Hotmail and AOL it is highly unlikely that you will ever receive email or newsletters from MyVisionTest. If you have email accounts elsewhere (Yahoo, Gmail, etc) you may wish to register with something other than a Hotmail or AOL email address.