Blue Diamond Protection Documents
Medical Alert Data Form

 

The "Medical Alert Data Form" is the application for BOTH 'Check-in with you' service and for Medical Alert System and product purchases. 

Completed documents can be:

  •  faxed to us at:  888-571-8808
  •  mailed to us at:  P.O. Box 4552, Greenwood Village, CO, 80155

Medical Alert Subscriber Form 2010

Click filename below to access file

MEDICAL_ALERT_SUBSCRIBER_FORM1.doc

Blue Diamond Protection LLC • P.O. Box 4552 •  Greenwood Village • Colorado • 80155 • 877-670-7676