MedicAlert® NYC Wanderer's Safety Enrollment
Before submitting an enrollment form, all required fields must be completed.
Only individuals with Alzheimer's or related dementia living in Manhattan, Brooklyn, Bronx, Queens, or Staten Island are eligible for the MedicAlert® bracelet through CaringKind. Individuals outside of NYC should contact MedicAlert® 800-432-5378 for enrollment.
Please use the back button on this form if you need to go back to previous steps (do not use your browser's back button)
*To check status of enrollment form or to make any changes to the enrollment form (e.g. address, primary contacts, medication, etc), please call MedicAlert® 800-432-5378.