Healthcare Professionals
Refer a patient or prescribe a Personal Alarm
Please complete the form to submit a written recommendation prescribing a personal alarm to support your patient.
Support at Home prescriptions:
Assistive technology recommendations under Support at Home must be made by a qualified health professional within their scope of practice.
Support at Home prescriptions:
Assistive technology recommendations under Support at Home must be made by a qualified health professional within their scope of practice.
Please note, this is not a MePACS application form.
To submit a new alarm application, please click below.

