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Excerpt from:  Medical Alarm Issues
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May 01, 2007

Is the RJ31X compatible with a hospital lifeline service?

If my mom's phone is off the hook will I be able to contact her?

American Senior Safety Agency Medical Alarms for Seniors

"I am asking because my mom has lifeline but if she forgets to hang up the telephone and it is off-hook, her lifeline does not work and I am unable to contact her."

I would call the hospital lifeline technicians and see what they say.

 
I don't believe they will have a problem hooking you up with a system that will work with an RJ31X line seizure jack. However, even with a line seizure jack, if your mom's phone is off the hook...you won't be able to call her. Her system when pushed would still work.
This is how any medical alarm system would work when used in conjunction with an RJ31X jack.

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