1-800-752-5522 - Toll Free
(510) 338-3467 - Fax
Monitoring Data Sheet
The monitoring data sheet includes basic information such as phone number and address as well as any responders that you would like listed, medical history, allergies, etc. The information on this form is what our operators see when you activate the system. You can also check off “yes” or “no” for us to call EMS/911 first, in the event that you cannot communicate with us.
Download a Monitoring Data Sheet here.
Vial of Life
The Vial of Life form allows for paramedics and emergency personnel to have access to important medical information in case of an emergency. Allergies, medications, doctor information, and emergency contacts are just a few of the items listed that are helpful if you are unable to speak. The form goes in a tube in the fridge and a Vial of Life sticker is placed on your fridge, so that paramedics and emergency personnel know to look in there for the document.
Download a Vial of Life form here.
When you sign up, we also have you sign our monthly agreement form. You can cancel at any time.
Download the agreement form here.