Telehealth Collaboration to
Lower Readmissions

See AutoAlert in Action

PATIENT INFORMATION

* Required Fields

*First Name:

*Last Name:

*Phone:

*Discharge Date:

Address:

City:

State:

Zip:

Notes:

WHO TO CONTACT

*First Name:

*Last Name:

*Phone:

*Relationship:

STAFF INFORMATION

*Staff Name:

*Type Your Email:

Do You Want To Be Notified?

Our third party notification service connects
you to your patient. We will notify you if
your patient is transported to the hospital.
Your liaison personnel can follow up with the
patient and their family.

Yes I would like to be notified in the event of my patient being transported to hospital.

ATTENTION STAFF

Remind family (or patient) that they will be receiving a call from Lifeline within a day of arriving home.
They are eligible to receive Lifeline FREE for the first 60 days, at no risk - and, FREE installation.
Suggested statement: We are committed that your loved one be safe at home during the critical first 2 months. To support you we have partnered with Lifeline who is making this service free for the first 60 days. They will be calling you in a day or two to see if you want to use this important service.

TO SUBMIT REFERRAL

Select your name (If you do not see your name, please select "Not Listed" and type in your name).
Type in your email address.
Click "Submit Here" button.

The Only Medical Alert Button That

Automatically Calls for Help When a Fall is Detected

Telehealth Collaboration to
Lower Readmissions

The Only Medical Alert Button That

Automatically Calls for Help When a Fall is Detected

Telehealth Collaboration to Lower Readmissions

Telehealth Collaboration to
Lower Readmissions