Request A Quote

If you work for a local authority, charity or any other organisation and are looking to get a quote for an epilepsy alarm, fill in this short form and our team will get back to you.

Please complete as much as you can. (*) denotes a required field.

Product selection

Which device is the quote for? *

Need to check again? Links: Wearables | Bed sensors

How many devices? *

End-user details

Please tell us more about the end-user(s). This is so we can determine the suitability of the product you have chosen above. Skip this step if you don't know the intended end-user(s) yet.

End-user name(s), age(s), and details of their condition(s)

Contact details

Your name *

Your email address *

Your phone number

Name of organisation *

If you represent a charity, please tell us the Registered Charity Number

Only complete this section if you need a copy of the quote to be sent to your accounts department.

Accounts payable email address

Accounts payable phone number