Please make sure all required fields are completed in order to create your account.
Please provide an email address and password. The email
address you provide will be your username for accessing your account.
The password must have at least eight (8) characters, one (1)
capital letter, and one (1) numeric value.
When you click submit, you will complete your registration for
DEXTENZA360™ and acknowledge that you have read, understood, and are bound by
confirming your registration once you complete your submission. If you choose to submit
a patient enrollment through this portal, we will contact you through the portal and/or via your
preferred contact method to follow up on the status of the request.
You can cancel your registration by calling 800-339-8369, Monday through Friday from 8:00 am to
8:00 p.m. Eastern Time. If in the future you no longer want to receive
health-related materials from Ocular Therapeutix, Inc. please call 800-339-8369. Please visit
The username you
provided is already registered.
Please return to the Log In page and click Forgot Password to
reset your password, or contact the program at 1-877-286-2207 for assistance.
The passwords do not match. Please try again.
Required fields are missing. Please correct and try again.
Phone and Fax should be 10 digits. Please correct and try again.
The password you entered does not meet the minimum requirements. Please try again.
The username selected must be in email formatting. Please correct and try again.
Please correct Email address and try again.
ALERT: If you are an office staff member or Administrator please go back and select another option that best matches your role.
You MUST be a licensed Healthcare Provider to select this role type.