Share Your Life Saved Story

your story could save another family!

Have You Used NovaCare
To Save A Life?

If you have used your NovaCare in a choking emergency, please fill out the form below to receive a free replacement of your NovaCare unit.

We'll Replace Your Device — Free

173+

Lives Saved

1,600+

Families Protected

1 Press

Is All It Takes

Incident Details

Please fill out the form below to share your story and receive a free replacement unit.

Personal Information

Full Name *

Email *

Phone Number *

Order Number

Patient Information

Patient's Name *

Patient's Age *

Date of Choking Incident *

Patient's Gender

NovaCare Device Information

How are you related to the patient? *

Where did the incident happen? *

What caused the choking? *

Were you alone when it happened? *

Incident Details

Number of presses before airway was cleared? *

How did the incident happen? Please share your story. *

Would you recommend NovaCare to other families?

I agree to allow NovaCare to share my story (first name and initial only) on the NovaCare website and social media to help raise awareness about choking safety.

After submitting, our team will verify your story and send you a free replacement NovaCare unit within 5–7 business days.

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Share Your Life Saved Story

Have You Used NovaCare
To Save A Life?

Incident Details

Personal Information

Patient Information

NovaCare Device Information

Incident Details

Share Your Life Saved Story

Have You Used NovaCareTo Save A Life?

Incident Details

Personal Information

Patient Information

NovaCare Device Information

Incident Details

Have You Used NovaCare
To Save A Life?