Healthcare Professionals

Prescribe a Personal Alarm for a patient

Please complete the form to submit a written recommendation prescribing a personal alarm to support your patient.

Assistive technology recommendations to support older adults experiencing age-related decline or disabilities 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.

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