How to Set Up a Medical Alert

Updated August 7, 2025 | Lisbeth Cano

Table of Contents

Setting up a medical alert system can significantly enhance the safety and independence of an aging parent. These systems provide a direct line to help in an emergency, giving both you and your loved one peace of mind.

“Once installed, the sense of security is instantaneous.” 1

Understanding Medical Alert System Options

Choosing the right type of medical alert system depends on your loved one's daily routine, mobility, and living environment.

In-Home Systems

These are ideal for individuals who primarily stay at home.

  • Landline-based: Connects to a standard phone line. Simple and reliable if a landline is available.
  • Cellular-based: Uses a built-in cellular connection, ideal if no landline is present.

Mobile Systems

Great for active seniors who frequently leave the house.

  • Built-in GPS location detection
  • Compatible with cellular networks
  • Often includes fall detection

How to Set Up a Medical Alert System

The setup steps vary slightly, depending on the system type.

Steps for At-Home Landline-Based Systems

  • [ ] Verify connection options: Confirm active landline and phone jack location.
  • [ ] Connect all cords: Link the base unit to the phone jack and any phones.
  • [ ] Power the unit: Plug into an outlet and allow time for a self-test.

Steps for At-Home Cellular-Based Systems

  • [ ] Select a central location: Place the base unit in a common area with good reception and access to a wall outlet. For more tips on home safety, see Home Safety.
  • [ ] Power the unit: Plug into a wall outlet.
  • [ ] Wait for the signal: The system may take a few minutes to connect to a cellular signal.

“The signal strength must be 2.5 bars or better. If the signal strength is insufficient, the console may not connect or function properly.” 2

  • [ ] Test the unit: Press the help button and confirm contact with the monitoring center.
  • [ ] Troubleshoot as needed: Move the unit closer to a window or different room if signal is weak.

Steps for Mobile Medical Alert Devices

  • [ ] Unbox and charge: Remove any packaging bands and connect to the charger or cradle.
  • [ ] Charge fully: A full initial charge is recommended.
  • [ ] Power on: Follow voice prompts or display instructions to complete setup.

Testing the Medical Alert System

Regular testing ensures devices function properly during an emergency.

Initiating a Test Call

  • [ ] Contact provider: Ask the company to place the system into test mode.
  • [ ] Press the button: Initiate a test alert via the wearable or base unit.
  • [ ] Listen for confirmation: Ensure the signal reaches the center and a response is received.

“Test your system every week. This also helps your mindset get used to the ease of using such a simple system in the event of an actual emergency.” 3

Using the Medical Alert System

Understanding how the system works prevents confusion during an emergency.

Making and Canceling Emergency Calls

  • Pressing the help button connects to a monitoring center immediately.
  • False alarms can be canceled by informing the operator you are okay.

Powering the System

  • Most systems stay "always on." For those with a power button, make sure it remains in the “on” position—especially after travel or charging.

Fall Detection Features

Some systems offer automatic fall detection for enhanced protection.

  • How it works: Sensors detect sudden motion and lack of movement.

“Fall Detection only takes a few seconds to interpret the movement and determine if an actual fall has occurred. If a fall is determined, the device will send a signal which will initiate a call to the emergency response center.” 4 For more on fall safety, see Fall Proofing Home.

  • Best practices:
    • Wear around the neck for optimal results
    • Keep outside of clothing
    • Understand that no system is 100% accurate

Maintenance and Troubleshooting

Proper care extends the reliability of the system.

  • Charge regularly: Mobile devices should be charged daily or per manufacturer instructions.

“Your device requires adequate battery charge and cellular signal to make an emergency call.” 5

  • Water-resistant pendants: Suitable for shower use, but do not submerge in water.

“It is water-resistant but should not be submerged.” 5

  • Clean gently: Use a soft, damp cloth. Avoid chemicals or abrasive cleaners.

Best Practices for Long-Term Use

  • Strategic placement: Choose areas with strong signals and frequent use.
  • Keep contact info updated: Report any changes in emergency contacts to the alert provider.
  • Respond to notifications: Follow your plan in case of an emergency signal. For guidance, visit Emergency Planning.

Final Thoughts

Medical alert systems provide peace of mind and critical emergency access. Whether using a home-based or mobile system, correct setup and regular testing are vital.

Encourage your loved one to feel confident using their device—even a weekly routine test can strengthen their comfort and routine.

  1. https://www.medicalalert.com/blog/how-to-setup-a-medical-alert-system/ ↩

  2. https://www.medicalalert.com/blog/how-to-setup-a-medical-alert-system/ ↩

  3. https://www.medicalalert.com/blog/how-to-setup-a-medical-alert-system/ ↩

  4. https://www.medicalalert.com/support/on-the-go/ ↩

  5. https://www.medicalalert.com/support/on-the-go/ ↩ ↩

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Lisbeth Cano Clinical Researcher and Elder Advocate

Meet the author: Lisbeth Cano earned her medical degree from Universidad de Iberoamérica in Costa Rica and worked as a doctor before becoming a clinical researcher. She now focuses on senior care, writing evidence-based guides for SeniorCanvas.com to help families make safer, smarter decisions for aging parents.