Order a Medical Alert SystemOrders received by 4:00pm EST ship the same day.
You can also order by phone by calling (800) 542-0438 Mondays-Fridays 8:30am-7:45pm EST and Saturdays 8:30am-4:45pm EST.
Instructions for Completing this Order Form
To help make this form as easy as possible to complete we have included some instructions and examples beside the form fields to assist you. The form has been broken down into a few pages in order to help simplify the process as well. When you complete a page please click the button at the bottom of the page to continue. If there is more than one button please click the one that best describes what you would like to do next.
Items marked with a * are required.