ABOUT UNITED LIFELINE

Peace of Mind, Confidence and Security for those seniors living alone.

United Lifeline is not just a Personal Medical Alert Service

Our mission has been to offer older, disabled and vulnerable persons the tools for securing 24 hour safety, independence and peace of mind.

United Lifeline is part of United Adult Ministries and Flushing House. We are a nonprofit, trusted, reliable local program serving the entire NYC region and all of Long Island for nearly four decades!

We welcome you to join our United Lifeline family, its easy call us and you’ll be ready to start enjoying:

  • Free system repair
  • Cellular equipment choices
  • Options/choices for your help button which can include auto alert functions and cellular
  • For as little as $1.00 a day +, depending on equipment sophistication, you can receive 24/7 protection

    Patient Info

    Bill To

    First Name*
    Last Name*
    Address 1*
    Address 2*
    Cross Street*
    Home Phone*
    Mobile Phone*
    Language*
    Date of Birth*
    Gender*
    Medical Condition*
    Drug Allergies*

    Shipping

    Full Name
    Address 1
    Address 2
    City
    State
    Zip Code
    Day Phone
    Evening Phone
    Email*
    How'd you hear about us?
    Is this for you?
    yesno
    If not, for whom?

    Emergency Contacts

    Name
    Relationship
    Home Ph.
    Work Ph.
    Mobile Ph.
    Keys
    yesno
    Name
    Relationship
    Home Ph.
    Work Ph.
    Mobile Ph.
    Keys
    yesno
    Name
    Relationship
    Home Ph.
    Work Ph.
    Mobile Ph.
    Keys
    yesno

    If you will be using a private ambulance company:

    Ambulance Name
    Ambulance No.
    Primary Physician Name
    Preferred Hospital
    Phone No.
    Referred by: