Ordering

There are two great ways to conveniently order your custom tailored medical monitoring service!

By Phone: Simply call our toll free number at: (888) 877-9169!

Online: Simply scroll down to the ORDERING ONLINE form below and fill out the fields. Do not worry if you do not have all of the information for every field. We call each of our online orders by telephone to get answers to any of questions that are required to activate service so your medical alarm can be shipped immediately. In addition, you will have the option to change any information on the paperwork accompanied by the medical alarm. Please note, you are more than welcome to update or make any changes to your service before, or after, the medical alarm is delivered.

Ordering Online

Select Plan Type

Six Month Service Plan - $155.70 (Average Monthly Cost $25.95)

         Special $119.70 for the First Six Months ($19.95 per month)

Quarterly Service Plan - $82.50 (Average Monthly Cost $27.50)

Monthly Service Plan - $29.95

Purchase Option - $189.90 Once & $14.95 Monthly

Select Emergency Button Type

  Pendant or Wrist Bracelet 

Optional In-Activity Motion Detectors  ($4.95 Per Month)

   

Optional Photoelectric Smoke Detector  ($4.95 Per Month)

   

Optional Dead Telephone Line Filters  ($19.95 each one time charge)

   

Optional Lock Box - $40.00 (One Time)

     Enter 4-Digit Code (0-9):

 

Subscriber Information

First Name
Last Name 
Address 1
Address 2
City
State
Zip Code
Phone
Email

 

          

Billing Information (If Different)

First Name 
Last Name

Address 1
Address 2 
City
State
Zip Code 
Phone
Email

 

          Ship To: Subscriber Address  or  Billing To Address

Shipping

Free Standard Delivery 3-5 Business Days

Standard Overnight (Next Day Only) - $24.95

Special Medical Conditions (If Any)

Emergency Contact Information (See Description in Red)

Call EMS First  or Call Responsible Parties First

(EMS = Emergency Medical Services or Ambulance)

Responsible Parties = (Individuals to Contact before or after EMS)

 

First Responsible Party

Name    

Phone #1          

Phone #2               

Phone #3               

Phone #4               

Phone #5          

Second Responsible Party

Name    

Phone #1          

Phone #2               

Phone #3               

Phone #4               

Phone #5          

Third Responsible Party

Name    

Phone #1          

Phone #2               

Phone #3               

Phone #4               

Phone #5          

Fourth Responsible Party

Name    

Phone #1          

Phone #2               

Phone #3               

Phone #4               

Phone #5          

Fifth Responsible Party

Name    

Phone #1          

Phone #2               

Phone #3               

Phone #4               

Phone #5          

Where did you hear about Family First Medical Alarms?

Payment Option (Credit Card Only)

Card Holder Name (As it appears on card)

Card Type               

                                      CreditCards

Card Number          (No Dashes or Spaces)

Expiration Date       /

* If you want to pay by check please call us at: (888) 877-9169

Terms & Conditions

() I Agree Terms & Conditions of Family First Medical Alarms

 

Shipping Information: Family First Medical Alarms process and ship orders the same day received, (orders before 2:00 PM Central Time on any weekday and before 10:00AM on Saturdays) are shipped on that day. If you have chosen Express Delivery Next Day Mail, you will receive your equipment the day after you submit this form.

 

If the ship to address is in a rural area, the U.S. Post Office may not guarantee Express Delivery Next Day Mail. Family First Medical Alarms will notify you if the US Post Office cannot guarantee next day and ship Express Mail which is guarantee second business day. If you choose Express Mail Next Day, the additional $24.95 difference to next day mail the equipment is applicable regardless if you receive it on the second business day. Once again, when you choose Express Delivery Next Day Mail we will call you to upon receiving this form to let you know when you will receive the equipment.

Family First offers the safest and most reliable 24-hour medical alarm monitoring service that is currently available in the United States at the most competitive price for your family.

Call Toll Free: (888) 877-9169

 
©2007 Family First LLC Last Change: