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User Registration

OKTO Ophtho requires that all eye care professionals register before entering protected, technical areas of the site. The registration process allows us to ensure that graphic, surgeon-specific areas are viewed ONLY by qualified health care professionals. Your registration also allows us to keep you abreast of interesting and informative topics related to our technologies.

Following registration, and for your future reference, a confirmation containing your user ID and password will be immediately forwarded to your specified email address. Your user ID and password will be required for future visits to these specific areas of the site.

We understand that your time is valuable and appreciate you taking time to register.

The information you enter will be encrypted for your protection. Please read our privacy policy.


	Save my User ID and Password as a cookie so I don't have to input it next time I login from this computer.

* User ID:
* E-Mail address:
* Password:
* Confirm Password:
* First Name:
Middle Initial:
* Last Name:
* Title:
* Occupation:	Doctor / Surgeon RN / Technician Other


Company:
* Address 1:
Address 2:
* City:
* State (USA and Canada):
* Country:
* Postal Code (ZIP):
Phone #:
Fax #:

*	I certify under penalty of perjury that I am a physician or a healthcare professional.

* Required entries