Complete your setup

Thank you for your order. So we can set the Little Gem up correctly and know who to call in an emergency, please fill in the details below. It takes about five minutes.

If you would rather give us these details over the phone, call 07624 376800.

Your order

So we can match this to the right order.

Order number

Which package did you choose?

Your name

Your email address

Your phone number

The person wearing the alarm

The details we need to keep them safe.

Full name

Date of birth

Their phone number (if they have one)

Address where the alarm will be used

Who we should call

List them in the order you would like them called.

Contact 1 - name and relationship

Contact 1 - phone number

Contact 2 - name and relationship

Contact 2 - phone number

Contact 3 - name and relationship

Contact 3 - phone number

Any illnesses, conditions or medication we should know about (Only fill in if you choose care centre service)

Getting into the property

If help is sent out, how do they get in?

How do we get into the property in an emergency? (Only fill in if you choose care centre service)

Next of kin

The main person responsible for their care.

Next of kin - name and relationship

Next of kin - phone number

Anything else

Is there anything else we should know?