Request your MyCrisis Record Membership
Membership Type >> Details >> Terms & Condition >> Payment
 

Premium Plus

$29.99
per Year

  • Unlimited 24/7 transmittal
  • MyShareFile
  • QR Code Crisis Card
  • MCR Web App
  • http://m.mycrisisrecords.com
  • Unlimited access to the PHCR
  • Unlimited ability to print PHCR
  • Access to Online Resource Center
  •  
  • More Details

PREMIUM

$24.99
per Year

  • MyShareFile
  • QR Code Crisis Card
  • MCR Web App
  • http://m.mycrisisrecords.com
  • Unlimited access to the PHCR
  • Unlimited ability to print PHCR
  • Access to Online Resource Center
  •  
  •  
  • More Details

Plus

$20.99
per Year

  • QR Code Crisis Card
  • MCR Web App
  • http://m.mycrisisrecords.com
  • Unlimited access to the PHCR
  • Unlimited ability to print PHCR
  • Access to Online Resource Center
  •  
  •  
  •  
  • More Details

Basic

FREE!
every Month

  • Unlimited access to the PHCR
  • Unlimited ability to print PHCR
  • Access to Online Resource Center
  •  
  •  
  •  
  •  
  •  
  •  
  • More Details
  Personal Details  
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Please contact your Employeer's Human Resources representative to request your institution code or contact a MyCrisisRecords Customer Service Representative at 1(866) 287-4618

Select your employer From the List. If you do not see your employer please contact 1(866) 287-4618 for further assistance.

 
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Terms and Condition of use
 
  My Crisis membership
  My Crisis Records PREMIUM w/ Annual Membership On Demand Crisis Response Transmittal Service Plan: Cost: $99.99 Service details
My Crisis Records Premium w/ TWO years Membership On Demand Crisis Response Transmittal Service Plan: = $165.00 (%15 Discount) Service details
My Crisis Records WELLNESS PROGRAM: $125 Service details
 
  My Crisis Member Device
 
Unit Price Quantity
 
My Crisis capsule  
$39.99
 
My Wellness Capsule  
$39.99
 
My E PHR Card  
$39.99
 
Use your own device.  
$4.99
 
 
  Electronic Signature
  Pursuant to the federal electronic Signatures in Global and National Commerce Act and applicable state laws, I consent to MCR Global Inc. use and reliance on my electronic signature to verify the information that I have provided herein. I certify that I am 18 years of age or older. I certify that I understand that I may withdraw this Agreement of Liability Waiver at anytime by calling 1(866) 287-4618 and requesting customer service. If I decide to withdraw this consent I understand my transmittal service and membership will end on the date of my request to withdraw.
I hereby release all of those mentioned and any others acting upon their behalf from any responsibility or liability for any injury or damage to myself, including those caused by the negligent act or omission of any of those mentioned or others acting on their behalf. I hereby agree to expressly assume and accept any and all risks of injury, death or if I refuse to cooperate with medical personal during an emergency medical event or disaster event and subsequent intervention.
As always, we rely on your accurate and updated medical information you supply. Members therefore agrees to defend, indemnify and hold us (including its employees, officers, directors, agents, consultants and brokers) harmless from any claim or lawsuit brought by member or others for injury, death, loss or damages arising in whole or in part out of members provision of incomplete or inaccurate information provided to us.
I do hereby further acknowledge that I have obtained and provided my most recent vital medical information DURING MY REGISTRATION AND SUBSEQUENT FOLLOW UP INFORMATION WILL BE ACCUATE AND UP TO DATE. I am authorized to sign all written informed consents and Agreement of Release of Liability as of the date below.
By Checking this BOX this indicates your consent for our customer service representative to contact you by phone or email after a transmittal no sooner than two weeks from the event to determine your level of satisfaction with our service.
Note: The Agreement of Release of Liability is required in order to purchase either or all of the digital devices, mobile smart phone App and/or the On Demand Crisis Response Transmittal Service. Any and all renewals for the On Demand Crisis Response Transmittal Service require an updated electronic signature on the Agreement of Release of Liability. Please enter your first and last name below to indicate Agreement of the Liability Waiver. Make sure you enter your name exactly as you entered your name above.
FIRST NAME LAST NAME
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Billing address is same as Shipping Address  
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