medical alarm system


Medical Alarm Clients

"The Life Assist USA medical alarm system has already saved my life once. Anyone that lives alone should have one, it is well worth the money!"
- Carol H.

"Thank you for setting up my clients with your emergency medical alarm system.... We are very pleased with your work and your service!"
- Linda

medical alarm
Medicare
Medicaid
Certified
Medicare and medicaid certified medical alarm

Personal Emergency Response System Need EVALUATION

Personal Emergency Response System
Need Evaluation

A personal emergency response system from Life Assist USA medical alert systems gives seniors and those with chronic medical conditions the peace of mind, security, and confidence to continue with daily activities and maintain independence - from their own home. How do you know if you or the person you care for need a medical alarm? Evaluate your need for a medical alert system need by answering the following 9 simple questions.
 Evaluation Form
Your Name:
Email Address:
Question Yes No
1) Is it important for the person you care for to continue living independently?
 
2) As a caregiver, are you having difficulties to find the time you need for yourself?
 
3) Has this person been hospitalized, or required emergency medical assistance?
 
4) Has the person fallen frequently, been anxious or at risk of falling where they live?
 
5) Does this person require an assistive medical device to help with balance or walking?
 
6) Is this person required to take several medications each day?
 
7) Do you or your loved suffer from any of the following medical conditions?
  • Hypertension
  • Stroke
  • Congestive Heart Failure
  • Chronic Obstructive Pulmonary Disease
  • Osteoporosis
  • Arthritis
  • Diabetes
 
8) Does the person you care for require assistance with at least one of the following daily activities?
  • Grooming
  • Bathing
  • Dressing
  • Using the Toilet
  • Eating meals
  • Preparing meals
 
9) Is the person you care for alone for several hours during the day and/or night?

 
*Indicates required field

The information that you provide to Life Assist USA is stored in a secure location and is never resold. Any information provided to us in this form is only used to provide you more information about your need for a personal emergency response system and medical alert accessories. Thank you for your interest in our medical alert products and services.