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Online Request Form

Did you know that No Child Without has protected over 66,000 children in the past 10 years? This charitable program is part of MedicAlert’s mission to ensure that all Canadians have access to high-quality health information at time of need.
 

No Child Without Registration/Information Form

Whether you’re part of the No Child Without program, or would like to join the program, please take a few moments to complete the form below. If you are a parent, please kindly speak to the school administrator to complete the form.


*All fields are mandatory

Is your school already part of the No Child Without Program*?:

Find out if your school is registered by clicking here. If your school isn’t enrolled, please note that there’s currently a waiting list to join the MedicAlert No Child Without program. You may submit your request to be added to the waiting list by completing this web form.

Are you requesting on behalf of a public school or Catholic school*?:

If no, please note that No Child Without is currently only available to public and Catholic schools. Click here to learn more about other MedicAlert programs.

Information about your school



School Address





Contact Person







Secondary Contact Person







Request for program brochures

Would you like to receive the No Child Without kit*?:
The kit includes a package of enrollment brochures, poster and a printed Principal Note document.
Would you like to receive only the enrollment brochures*?:
Brochure Quantity*:
Language*:

Enter security code:
 Security code

 

If you have an urgent request or have any questions, contact MedicAlert at ncw@medicalert.ca or call 1-877-282-5378 (Monday to Friday, 9am to 8pm, EST).

By submitting your email address, you give permission to MedicAlert Foundation Canada to contact you about the No Child Without program. We do not share any of the school information with any third parties. Please read our privacy policy.


 
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