Medical Alert System - SecurMEDIC

1. Plan

* Required field (optional)

Account Number (optional)

EP_ACCOUNT_NUMBER_INPUT (optional)

IMEI (Serial Number)

15 digits located underneath or on the side of your machine

Plan Selection *

EP_SYSTEM_INCLUDES (optional)

All of our units include:

Free Shipping
No contract
No hidden cost
12 Months Limited Warranty. We pledge to repair or replace any SecurMEDIC™ product or component that is defective in material or workmanship for a period of 12 months after the original purchase. This warranty does not cover batteries, misuse or water damage.

SecurMEDIC™ does not require any installation and is activated automatically. If you any question about the product or how to use it, please contact our customer service agents from Monday to Friday 9am to 5pm EST.

System Language *

French English

2. User Info

* Required field (optional)

Title (optional)

Name *

Last name *

Date of Birth * (optional)

Home Phone Number *

Please use a valid phone number

Street Address *

Apt./Suite (optional)

City *

Province *

Postal Code *

Username *

Password *

Bad Password

Confirm your password *

Passwords do not match

Where did you hear about SecurMEDIC™? *

Additional Information (optional)

3. Shipping

* Required field (optional)

Shipping Address (optional)

Same as customer address?

Street Address (optional)

Apt./Suite (optional)

City (optional)

Province (optional)

Postal Code (optional)

4. Contact List

* Required field (optional)

EP_CONTACT_DESCRIPTION (optional)

We recommend that you provide at least one contact.

If you don't have the information handy, you can still proceed with the purchase. It will be possible for you to add/modify the Contact List at any moment after purchase.

Emergency Contact 1 (optional)

___________________________

Full Name (optional)

1st Phone (optional)

Please use a valid phone number

2nd Phone (optional)

Please use a valid phone number

3rd Phone (optional)

Please use a valid phone number

Emergency Contact 2 (optional)

___________________________

Full Name (optional)

1st Phone (optional)

Please use a valid phone number

2nd Phone (optional)

Please use a valid phone number

3rd Phone (optional)

Please use a valid phone number

Emergency Contact 3 (optional)

___________________________

Full Name (optional)

1st Phone (optional)

Please use a valid phone number

2nd Phone (optional)

Please use a valid phone number

3rd Phone (optional)

Please use a valid phone number

Emergency Contact 4 (optional)

___________________________

Full Name (optional)

1st Phone (optional)

Please use a valid phone number

2nd Phone (optional)

Please use a valid phone number

3rd Phone (optional)

Please use a valid phone number

5. Payment

* Required field (optional)

Name On Card *

Credit card number *

Card Expiry Month *

Card Expiry Year *

Card CVV *

Email Address *

Please use a valid mail address

Terms and Conditions *

I agree with SecurMEDIC™'s Terms and conditions

Discount Coupon ID (optional)

Cancel

Purchase Summary

Discount Coupon?

12 Months Limited Warranty

We pledge to repair or replace any SecurMEDIC product or component that is defective in material or workmanship for a period of 12 months after the original purchase. This warranty does not cover batteries, misuse or water damage.

Free Shipping

Works anywhere in Canada

No Risk, No Obligation

No installation needed (works out-of-the box), cancel anytime!

Purchase Summary

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Purchase Summary