Register with PING Health Coach

Register to Health Coach at PING Health Coach

Please enter your information in the fields below. Please do not use this form if you are already a health coaching client (you have seen Maya in the past). To set up health coaching portal access or change/update your information, please contact us.

If you are already a registered health coaching client with online access, you can log in here

Basic Contact Information

Your Address

Contact Information

Emergency Contact

Medical Information

Please enter your basic medical information below. You may also add or edit this information after you've signed up.

Set Username and Password for Client Portal

Please create a username and password that you will use to log into the client portal in the future.

Your username must be at least 4 characters long

Your password must be at least 8 characters long and include at least one number or special character.

The client portal gives you access to your medical records and lets you securely communicate with your doctors. When you sign up, you will receive an email with instructions for logging in.

Sign with mouse or finger:

Contact Cerbo Technical Support
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