First name

Last name

Email address
Please enter your work email address carefully to avoid errors.

Login name
Enter your AIN or another username for your Ergo Clinic login.

Password
Four or more character password, case sensitive. Below, use 0381 for the company code.

Confirm password

Company code

Ergo Administrator code (optional)
Leave blank if you are not an ergo administrator or safety officer.

Supervisor
Enter your supervisor's first and last name.

Humana Associate ID Number
Please RE-ENTER your AIN.

I understand that the information provided in CorpMed.com training, Quick Guide and Self Care materials cannot substitute for the personal attention of a licensed medical professional.