1:: Complete the Order Form

2:: We Call You

One of our customer service operators will contact you to collect your personal medical information and schedule the product delivery.

3:: You’re PROTECTED!

System Delivered To You By FedEx Ground.

In your package, you’ll receive a Unit, Charger, Warranty Card and Instructions.

Expedited Delivery Available At Additional Cost.

Order Form * = Required Fields

First Name: *
Last Name: *

Address:

City:
State:

Zip Code:
Phone: *

Email: *

Comments:

By submitting your contact information you agree to our Terms of Use and our Security and Privacy Policy. You also expressly consent to having us, our Family of Companies, contact you about your inquiry by text message or phone (including automatic telephone dialing system or an artificial or prerecorded voice) to the residential or cellular telephone number you have provided, even if that telephone number is on a corporate, state, or national Do Not Call Registry. You do not have to agree to receive such calls or messages as a condition of getting any services from medical alert or its or its affiliates.