A WBE SOMWBA Certified Company
Presidential Park
314 Main Street - Suite 106
Wilmington, Massachusetts 01887
designed by: AA&T Graphics
Toll Free 866.513.PERS (7377)
"To provide the elderly, disabled and their caregivers access to professional services helping them to face the challenges of daily living independently, safely, and in their own homes with dignity and respect."
See the Most Heartwarming and
Touching Presentation
A Parent's Wish
Be Safer At Home™
would like to express
our sincere gratitude to ParentsWish.com for
granting us permission
to post their link.
>
All information provided to us is confidential. We do not under ANY circumstance give your information out to anyone at any time.
Your Name:
Address:
City:
State:
Zip:
Phone:
(DoB) Date of Birth:
Drug Allergies:
I would like to order the following products/services:
Please provide the following information to the best of your ability:
Subscriber's Information
(This should be who will be using our product)
Hospital Name:
Hospital Phone:
Physician Phone:
Physician Name:
Brief Medical History:
Thank You,
Be Safer At Home, Inc.
Call us now ... toll free: 866.513.PERS (7377)
In Massachusetts: (978)-658-6992
E-Mail: BeSaferAtHome@verizon.net
Responder Information
(This should be someone who lives close by and has access to subscriber's home)
Full Name:
Phone:
Phone:
Full Name:
Must Notify
(This should be someone that should be called if transported to a hospital)
Full Name:
Phone:
Phone:
Full Name:
Billing Information
(This should be the person who will be paying for our service)
Your Name:
Address:
City:
State:
Zip:
Phone:
Personal Emergency Response Service Terms - Average Cost/Month:
Be Safer At Home™ 24/7 Monitoring Service
- One Full Year - prepaid $359.40 (Best Buy)
- 6 Months of Service - prepaid $197.70
- 1 Month of Service - $34.95
Be Safer At Home™ Additional Items
- Replacement Pendant .......... $100.00
- Additional Pendant .......... $10.00
Partner Links
"Be Safer at Home, Inc. has helped my patients obtain the help they need quickly in an emergency. Statics have proven to us by getting help to someone quickly in an emergency will often shorten their hospital admission & rehabilitation. The Be Safer at Home Staff notifies our organization immediately when our patients are transported to the hospital. This has allowed my staff to decrease unnecessary home-visits. The Medication Management Program has helped our patients stay compliant with their often complicated medication regimes. They notify our office if a patient is non-complaint with their medication. It allows our staff to intervene immediately.
We are very pleased with Be Safer at Home. Their staff is very professional, caring and their organization has excellent documentation practices."
May M., Temple Hills, MD
