Patient Portal Not registered? Create your account by completing the form below -- it's quick and easy! You will have access to request appointments, refill medications, e-mail your doctor and pay your statements. Patient Portal Registration First Name * Last Name * Date of Birth * Email Address* ** Please allow 24/48 hours for a token to be e-mailed to you. Thank you, Staff of Cincinnati Eye Institute * Please be aware that this is a non-secure communication.