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User Intake Form

Thanks for ordering the PingCares Watch for added safety and independence! Please fill out the information below so we can program it into the watch before shipping it out.

Watch User Information

Preferred Watch Band Color
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Emergency Contacts

List 3 emergency contacts below in order of priority. When the red button is pressed, the watch will call through the contacts you provide in this form.

Additional Contacts (Optional)

If there are additional contacts you would like us to program and make accessible from the watch, please list them below. If you would like to add more contacts than the available spots below, please email us at support@pingcares.com.

Mobile App User Information (Optional)

If you have purchased the Premium Plan at $25 per month, you will have access to information on the person wearing the the watch (could be yourself or your loved one).

1. Any health information captured by the PingCares Watch carries no medical claims and is only used for reference.

2. PingCares makes no guarantee on the constant connectivity of the watch, including access to internet and voice calling, as it is subject to the coverage and service of the cellular carrier and the state of the watch during usage.

3. I opt in to receive text messages from PingCares based on insights captured by the watch. I can opt out anytime by texting "stop" to future texts from PingCares.

Received, thanks for the information!

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