Report Life Saved

Your safety. Our promise.

Have You Used Guardian’s Promise to Save a Life?

If you’ve used your Guardian Anti-Choking Device in a real emergency, we want to honor your bravery and support your continued safety.

Please fill out the form below to receive a free replacement unit — it’s our way of saying thank you for trusting Guardian’s Promise when it mattered most.

Fill The Form

First name*

Last name*

Email address*

Phone number*

Address*

City*

Zip Code*

Patient′s Name*

Patient′s Age*

Date of the Choking Incident*

How are you related to the patient?*

Full Name of the Person who Purchased the +Guardian Device

Number of Attempted Uses of the +Guardian Device*

How did the incident happen? Please share how +Guardian saved your or someone else′s life*

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