RETevet Resource Center Registration

Dear customer,

This portal is designed for RETevet™ customers. Please fill out the form to register and we will verify your identity, using your device’s serial number and location.

RETeval^® customers can find resources in the RETeval Academy.

First Name *

Last Name *

Practice, Organization, or Research Institution *

Device Type *

Device Serial Number *

Did you purchase your device through a distributor? If so, which one? *

Email *

City *

Country *

Username *

Password *

Confirm Password *