"Find the Right Assisted Living and Memory Care."

 

The Electronic Caregiver Premier 

 

Premier “Series 1”

Included:

  • Everything with Series Premier 2 & 3 Plus
  • Pocket MD (24/7 Doctor Consultation)
  • Choice of Color Pendant

 

Premier “Series 2”

Included:

  • Everything with Series 3 Plus
  • Black Leather Pouch
  • Familiar Places
  • Caregiver Connectivity App

 

Premier “Series 3”

Included:

  • Medication Reminders
  • Activity Detection
  • Standard Grey Pendant
  • GPS Location
  • Cellular Service

 

Fill out the Secure form Below to Order or

Call us at 888.978.9287 for Questions

 

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PLAN SELECTION





*Up to 20% off with 3 referrals. Please see details below

PLAN DETAILS


*Will be waive for Series 1 purchases during Thanksgiving sale (ends Nov. 30)

Pay annually at signup to receive discount


***Cannot combine with other promo codes. Applicable if more than 2 units are purchased for the same household



EQUIPMENT SELECTION


*Grey color pendant is standard for Premier Series 2 & 3



*Black Pouch is Free. Other Colors are $7/each



*Auto Fall Pendant activates upon impact, sending a signal to the Emergency Response Center. Pendants do not detect 100% of falls.



SUBSCRIBER (USER) INFORMATION




Include Date of Birth. Example January 1, 2000 = (01/01/2000)



Number, Street, City, State, Zip Code. No PO Boxes allowed.


Primary phone number. Also used to contact in case of emergency.

Primary email address for all communication. Email remains private and confidential



DELIVERY INFORMATION



Name of person receiving the ECG Premier delivery.

Phone Number of person receiving the ECG Premier delivery

Where to mail the ECG Premier. Number, Street, City, State, Zip Code. Type "SAME" if same address as the primary address.



HEALTH INFORMATION






Please keep brief and summarized (i.e. major medications, major allergies, major surgeries, etc.) and

List any special care needs (therapy exercises, oxygen O2, DNR do not resuscitate, etc.)




ACTIVITY REMINDERS


*Select Wake up time for activity reminder

*Select 2nd check in time for activity reminder. Typically 5 hours before sleeping



MEDICATION REMINDERS


*Select Wake up time for activity reminder

*Select Wake up time for activity reminder

*Select 2nd check in time for activity reminder. Typically 5 hours before sleeping

*Select 2nd check in time for activity reminder. Typically 5 hours before sleeping



EMERGENCY CONTACT & ACCESS INFORMATION


*List family/friends to contact in case of emergency. List at least 3 contacts in order of Priority

*1st selection is most popular as family/friends on emergency list will be contacted first before dispatching emergency responders

*Included additional info such as itemized Medications for Med Reminders, Additional contacts for "Emergency Contact List", etc.

List code for emergency responders to access only in an emergency


List code for emergency responders to access only in an emergency



BILLING INFORMATION


Select which type

Full name as it appears on credit card

Full Credit Card Number

Example (MM/YY)

Visa/MasterCared/Discover: Last 3 digits on the back of the card | AMEX: 4 digits on the front of the card

Number, Street, City, State, Zip Code.



PAY WITH YOUR BANK ACCOUNT (E-CHECK/ACH)





Private & Confidential



REFERRALS:



***Cannot be combined with other promo codes. Include names of family/friends who might benefit from the ECG Premier (Full Name / Relationship / Phone Number)



ORDER AUTHORIZATION



 

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