Thank you for your interest in registering as a member of the Telecare Solutions service!

In order to successfully complete the registration process, you will need to:-

  1. Download & agree to our Terms and Conditions – click here to download
  2. Complete the Member Application Form below.

Should you wish to complete the Member Application Form manually, please click here to download the form. You will need to print this out and fax to us on 0866 189 792

Should you have any queries regarding the information required during registration, or should you require any assistance to complete the registration process, please do not hesitate to contact our Central Sales Office on 0861 633 644. Our friendly and helpful representatives will be glad to assist you.

PLEASE NOTE:- all fields in the form below are required to complete the process! If something is not applicable, simply enter 'n/a' into the field.

Register with Telecare:

Personal details:
 
Name: Surname: ID No.:
Telephone: Cell: Email:
Address: Fax:  
       
Code:        
   

Product Required:

      
   
CareStation + water resistant trigger Subscription / Purchase:
Additional water resistant trigger How did you find us?:
KeySafe  
Silicone BuddyBand (male)  
Silicone BuddyBand (female) Do you have ADSL Internet?
Silicone BuddyBand (child)    
Oval Stainless Steel Buddy    
Bellen A100 Cellular phone    
i Baby Cellular phone    
Medcation reminder on Carestation    
Smoke detector    
Other