A method, apparatus, and/or system for monitoring a user and transmitting an emergency notification is disclosed. The apparatus can monitor a user's overall wellness and adherence to a therapy regimen. The apparatus can also detect a variety of emergency situations affecting the user. For example, the apparatus can detect a fall affecting the user, the activation of an emergency indicator by the user, or an emergency based on vital signs and the overall wellness of the user. The apparatus can generate and transmit an alert notification in response to determining an emergency is affecting the user. The apparatus can select the form of the alert and the network on which to transmit the alert. The apparatus can determine the form of the alert and the network based on the severity of the emergency and the strength of the networks available to the apparatus. The form of the alert and the transmission network selected can optimize the likelihood of the alert notification being successfully transmitted.