UnaliWear Configuration and Monitoring Center Information

UnaliWear Kanega Watch Configuration and Monitoring Center Account Set-Up Form

Thank you for selecting UnaliWear and our Kanega Watch as your medical alert system provider. This form will provide us with the information needed to set up your account with our 24/7 monitoring center and configure and ship your watch.

Please answer the questions below and hit submit when finished (we take data protection seriously; click here to learn more).
Note that only sections labeled with a red “*” are required information to submit this form.
If you have any questions during this process, please don’t hesitate to call us at 888-343-1513 and push option 1 for our Customer Success Team.
Your Kanega Watch will ship within one business day of us receiving this completed form.
We look forward to meeting you during your on-boarding call (see below). ☺
Wearer Information
The person who will be wearing the Kanega Watch is...*
Buyer's Email
Wearer's First Name*
Wearer's Last Name*
Wearer's Address - Street Address*
Wearer's Address - City*
Wearer's Address - State*
Wearer's Address - Zip Code*
Does the wearer's residence have a gate code?*
Wearer's gate code
Does the wearer's residence have a lockbox?*
Wearer's lockbox code
Is there a hidden key location? Or is the lockbox location not obvious?*
Hidden key/lockbox location
Wearer's Email
Primary Phone - Can you receive text messages on this phone?*
Wearer's primary phone number
Wearer's mobile phone number - Mobile
Wearer's secondary phone number
Can you receive text messages on this phone?
Wearer's Date of Birth:*
MM slash DD slash YYYY
Hidden
Year of Birth
Wearer's Gender:*
Wearer’s Watch Size*
How to select your size (link will open in a new tab)
(OPTIONAL)
If you wish, you can provide information for the medical alert operators to pass along to emergency responders if they are activated. For example: drug or other allergies; chronic diseases; or specialized instructions ("No blood pressure or needles left arm").
Where do you want to ship the Kanega watch?*
Shipping Address - Street Address
Shipping Address - City
Shipping Address - State
Shipping Address - Zip Code
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Shipping Address - Country
Wi-Fi Configuration
Find the name and password for the Wi-Fi network in your residence. The name is also called the “SSID”. Your watch uses the 2.4 GHz Wi-Fi band. The Kanega Watch does not use 5 GHz.

Sometimes, this name is a sequence of random numbers and letters, but people often personalize the name of a Wi-Fi network to help users identify its owners (i.e. "The Smith Family WiFi" or "Fred's Network").

Most Wi-Fi networks are protected by a password for security. You will need to provide the password so the Kanega watch can access your Wi-Fi network.

Important: Both the SSID and password are case sensitive. It is very important that these credentials are entered accurately.
Primary Wi-Fi Network Name (SSID) - MUST be 2.4GHz NOT 5GHz:*
This is the 2.4 GHz WiFi at your residence.
Primary Wi-Fi Password:*
Secondary 2.4 GHz Wi-Fi Network Name (SSID):
If you have a second WiFi (like work or another dwelling), please include.
Secondary Wi-Fi Password:
Emergency Contact Information
Please enter the contact information of the responsible parties in the order that they will be contacted in case of emergency.

You may include up to three contacts. At least one emergency contact is required.
Emergency Contact #1:
First Name*
Last Name*
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Name _Hidden
First Last
Emergency Contact #1 Email
Primary phone number*
Can you receive text messages on this phone?*
Secondary phone number
Can you receive text messages on this phone?
Relationship to wearer*
Emergency Contact #2:
Emergency Contact #2 - First Name
Emergency Contact #2 - Last Name
Emergency Contact #2 Email
Primary phone number
Can you receive text messages on this phone?
Secondary phone number
Can you receive text messages on this phone?
Relationship to wearer
Emergency Contact #3:
Emergency Contact #3 - First Name
Emergency Contact #3 - Last Name
Emergency Contact #3 Email
Primary phone number
Can you receive text messages on this phone?
Secondary phone number
Can you receive text messages on this phone?
Relationship to wearer
Onboarding
For the best wearer experience and understanding of the watch’s functionality, we recommend wearers have a brief personalized call with one of UnaliWear’s Customer Success team members. Once your watch ships, we will contact you to schedule this call, unless you check the box below.
- Check this box if you DO NOT want our Customer Success team to follow up with you to schedule your on boarding
Hidden
Onboarding - Opt Out
Hidden
Onboarding - Pending
Preference for contact (select all that apply):
Medication Reminders
Never forget to take your medications and pills again! The Kanega Watch medication reminders are customizable and easy to understand.

If you'd like for us to set up your medication reminder times for you before we ship your watch, just set them up here.

You can always set up, change, or remove your medication reminders from the Kanega Wearer Portal after you've received your Kanega Watch.
Would you like for us to program your medication reminder times for you right now?*
How many medication reminder times will you need? (Up to 5 times)
First medication reminder time:

: Hours

Minutes
Second medication reminder time:

: Hours

Minutes
Third medication reminder time:

: Hours

Minutes
Fourth medication reminder time:

: Hours

Minutes
Fifth medication reminder time:

: Hours

Minutes

UnaliWear Kanega Watch Configuration and Monitoring Center Account Set-Up Form

Wearer Information

Wi-Fi Configuration

Emergency Contact Information

Onboarding

Medication Reminders

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