New Members receive ONE FREE stainless steel bracelet (Large or Small Emblem) or a neck disc, and a PVC Membership card with your details printed thereon.
Once you have completed the form below, please don't forget to visit our On-Line shop where you can pay for your membership, using our secure payment gateway, as well as select your free Stainless Steel MedicAlert® Emblem.
Updates of your information in our database are FREE to members who have paid their annual subscription. Otherwise an Admin fee will be charged.
Page 6 of 6
NEW members, are eligible for ONE FREE Medic Alert Bracelet, which should be "ORDERED" from our shop. - Please tick the box below.
By entering your NAME, SURNAME and TODAYS DATE below, you accept membership of MedicAlert®, and authorise MedicAlert® to release information in emergencies or to healthcare personnel whom you designate.
Thank you
Your application has been received.
please visit out On-Line shop to pay for your
membership or annual renewal fee.