Registration Form | 2-Week Online Training for Medical Billing

Our online training center offers a mentorship program for aspiring and seasoned VAs aiming to learn a specific niche – Medical Billing.

Start Date: January 5-16, 2026
Time: 6:30 pm to 8:00 pm
Duration: 2 weeks
Registration Fee: Php 4,000 Discounted Price

Plan for success and turn your dreams into reality—join our upcoming class now! Fill out the form below to get started.

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Full Name *This will be displayed on your certificate.

Facebook Name *

Date of Birth *

Location *

Mobile Number *

Email *

Are you currently employed? *YesNo

Do you have Medical Billing Background? *YesNo

What's the purpose in joining this Training? *

How did you learn about us?

How did you learn about us? *FamilyFriendsFacebookTiktokOther

Please Input the name who referred you.

I understand that this mentorship program does not count towards Continuing Professional Development (CPD) credits or meet the formal requirements of a CPD-accredited course. While it provides valuable learning, skill development, and professional guidance, it is intended for mentorship rather than formal training or certification. *

I agree that I shall not, during or at any time after the training, use for myself or others, disclose or divulge any confidential information or other proprietary data including private patients information. By agreeing to this, I am upholding ethical standards and potentially legal obligations regarding privacy and data security.*

I understand that the Academy has a No Refund Policy. *

Payment Details

Step 1: Scan the QR code to pay the registration fee
Step 2: Upload your proof of payment.
Step 3: Kindly message PMBA page thru their facebook account with the screenshot of the payment transaction to confirm registration.

Upload proof payment *

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Important Note:

After submitting, kindly send a screenshot to the Premier Medical Billing Academy Facebook page or TikTok to confirm your registration. Thank you.

 

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