Order Information

You’re Now Ready To Order Your Medical Alert System

Initially:

The only information that we will need is:

  1. Your name
  2. Your telephone number
  3. Who is the system for (the Subscriber)?
  4. What is the Subscriber’s address?
  5. What is the Subscriber’s telephone number?
  6. Who is the Subscriber’s phone service provider?
  7. Which system should be installed (Standard, Fall Detection or Cellular)?
  8. When would you like the system installed?

 

During installation:

Your technician will assist you in completing a Medical Notification Form

 

 This form will provide us with more specific, personal information about the Subscriber.  The information that you should have available on the day of the installation includes:
  1. The Subscriber’s basic medical history
  2. Any known allergies
  3. The name of Subscriber’s primary physician and phone number
  4. The Subscriber’s preferred hospital and phone number
  5. The people to notify in the event of an emergency (including home, cell and work telephone numbers)

 

Please have this information ready for your technician on the day of the installation.  If you wish to get a head start, you may download the form now and complete it.

 

Order Today!

It's Quick And Easy

One of our representatives will process your order in just a few minutes. Typically, a system can be scheduled to be installed in 1 or 2 days (sooner if it is an emergency).