Application For A FREE Medical Alert System
Make and model of actual alert system will vary depending on availability.
Please download and fill out the application to apply for the Medical Alert System. All applications will be reviewed and if approved you will receive a FREE Medical Alert System when funding is available.
We can not guarantee that all applicants will receive the alert system. We will provide as many systems as possible based on funding.
Assistive Technology Services promises to use all funds made available to purchase and distribute Free Medical Alert Systems and to not keep any funds for profit.
Please describe your health and financial situation in the message section.
Your financial eligibility will be verified by local resources.
You Must Truthfully Pass The Eligibility Test Below In Order To Proceed.
TAKE OUR ELIGIBILITY TEST
To receive a FREE Medical Alert System, you must honestly attest to the statements listed below.
I PROMISE that neither I nor any immediate family members are financially able to afford a Medical Alert System. (Systems are as low as $69.99)
I PROMISE that I am ordering this Medical Alert for myself.
I PROMISE that I have never previously applied for a Free Medical Alert.
I PROMISE that I will never sell the Free Medical Alert system if I receive one.
I PROMISE that I will learn more about the word of Jesus Christ.
If you honestly attested to all of the statements above you may proceed with this application.
All information requested below MUST be included in the application.
CLICK TO DOWNLOAD APPLICATION
The amount of time for the application review and funding will vary but usually takes 20-30 days at a minimum. If we are not funded for a free medical alert system at the time the system may not be shipped until we are funded. The amount of time can not be determined. There are no guarantees that any systems will be provided based on funding at the time. All information must be included and mailed. No email requests will be taken
Assistive Technology Services is a Christian based organization and provide these systems with funding from many sources with matching funds from our organization. We rely heavy on the honesty of those requesting these system since there is a huge expense in providing these to the truly needy.