Once you have completed the form below, please don't forget to visit our On-Line shop where you can pay for your membership.
Updates of your information in our database are FREE to members who have paid their annual subscription. Otherwise an Admin fee will be charged.
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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.
A copy of the application has been E-mailed to you.
Please visit out On-Line shop to pay for your
membership or annual renewal fee.