Life Assist USA Medical Alarm System Contact Information

Or simply complete this short form and click 'Send'. A Life Assist USA representative will contact you directly to answer any additional questions you may have and to arrange for service. The information you provide here is only used by Life Assist USA. It is never sold or shared with third parties.

Medical Alarm Contact Request

The information that you provide in this form is collected and stored in a secure location, is never resold, and is not used in any way other than your request for correspondance about our medical alarm systems.

Please note that while our Personal Response Associates are on duty 24 hours a day, 365 days a year, our customer sales team is currently available to take your call (or to call you) from Monday through Friday 8:00 a.m. to 8:00 p.m. Central Standard Time.

*I am interested in information about Lifeline for:
Myself
For a relative or friend
For a patient or client

*I would like to:
*First Name:
*Last Name:
Phone:
*Email Address:
*Zip Code:
(Zip code where the medical alarm service will be installed, used for pricing purposes only.)
Best Time To Call:
*Day:
*Time Zone:
*Time:
* indicates required field

Life Assist USA Medical Alarm System Contact Information

Contact Life Assist USA Sales and Service

Contact Life Assist USA
Sales and Service