Medic Alert Bracelet Nz Application Form

Canadian medicalert foundation 2005 sheppard ave.

Medic alert bracelet nz application form. 5 next of kin. A medical id alert wristband bracelet necklace or dog tag which includes your specific medical information and contact details is vital for medical professionals when time is limited. Medicalert identification bracelets or tags alert emergency personnel to a member s primary health conditions medications allergies or implanted medical devices as well as notifying them of specific advance directions. Complete this medic alert registration form to apply for membership and complete your debit order details for the monthly fee of r34.

Medicalert foundation has been operating in new zealand for over 55 years. Medicalert s 24 7 emergency response team is fully operational. For our response to covid 19 go here also visit our coronavirus resource center. Nb discs paid for by debit order will only be processed once funds are cleared.

Debit order in order to assure automatic renewal of your medic alert membership please complete the debit order details below. Medicalert prepares to celebrate 50 years of saving lives in new zealand records online for medicalert members parents able to speak up for their child s health in an emergency. 7 debit order details. Fill out the order form as directed combined provincial tax membership payment option 5.

Authorisation for direct debit hereby authorise medic alert to debit my current. Medicalert s 24 7 emergency response team is fully operational. The voice for over 1 million canadians for over 50 years. Reference fax copy with application form.

Mail completed order form to. E suite 800 toronto on m2j 5b4. For our response to covid 19 go here also visit our coronavirus resource center. This is important in cases where specific treatment is required or where you are allergic to food or pharmaceuticals.