Order a Medical Alert System or a Pill Dispenser

Online Order Form

To order, inquire about pricing, or for more information about any of our services:
     please dial 1-888-526-1456
Mention that you saw our website and receive free enrollment!

VRI is able to offer you a medical alert system at a minimum cost.  Exact pricing varies depending on accessories and payment methods.  VRI is proud to carry a variety of equipment to handle almost any need.

If you wish to contact us, please fill out the Contact Information below and enter your Question or Comment, or send an email to info@monitoringcare.com.

If you have decided to order a VRI system you can fill out the Subscriber and Contact Information sections and a VRI representative will contact you at a time you specify to receive any additional information needed and set up a payment system that is right for you.

Subscriber Infomation
Last Name		First Name
Middle Name		Language
Phone #		Street Address
City		State
Zip
Local Hospital Name		Local Hospital Phone
Please List Drug Allergies
Please List Medical Conditions and/or Diseases
	Contact Information(Optional)
Last Name		First Name
Phone #		Email Address
	I am interested in...
	Making an order
	Medical Alert System
	Medical Dispenser
	Monitoring Medical Dispenser
	Telemedicine
	Receiving more information via phone
	Receiving more information via email
	Questions/Comments
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