PRESENT THIS MEDICAL ALERT REQUEST FORM TO YOUR VA PHYSICIAN AT YOUR LOCAL VA HOSPITAL OR VA CLINIC AND ASK THEM TO DO A "CONSULT TO PROSTHETICS"
Be sure to include Life Alarm Services GSA Contract # 47QSWA24D000B when doing a CONSULT TO PROSTHETICS for your Life Alarm Smart Alert w/ Fall Detection from any VA hospital's Prosthetics & Sensory Aids department. For questions, call Life Alarm @ 1-800-780-5433. Fax orders 706 854-9787
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