Register to Order

Thank you for your interest in purchasing the revolutionary smartbelt that protects hips and encourages safer mobility.  We are now accepting orders for senior care providers on a first-come, first-served basis, with a minimum order quantity of 10.  Filling out the below does not obligate you to purchase the belt, nor does it constitute a contract between you and ActiveProtective.  The belt is offered as a monthly subscription or as an upfront purchase (pricing established based on care setting and product features).

(Items with an asterisk are required)