Well I thought I would report back. After looking, reading and making some calls my client decided on the PAL button. The sales person was very nice and it was not really a "hard sell" as some of the phone calls had been with other companies. My client liked that it was local. Installation wasn't bad we could have probably done it but would have taken longer. It took about 1/2 to figure out what outlet would work best.
My client went went the basic (this is where I say it was not a hard sell ) you have a land line and it is good for 600 feet. So basically as long as she can see the house and push the button it will work. So far we have found that if she is anywhere in house or lanai and can talk at a regular level she can have a conversation with the center. The call center is based in UT and there is no real contract just a 30 day notice.
If you can speak they will call your list before EMT if you request. They also have options with fall alert and GPS. Almost all I have researched are waterproof. They pendant doesn't bother her even while sleeping.
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