July 16, 2004 American Medical Alert Corp. 3265 Lawson Blvd. Oceanside, NY 11572 Attn: Jack Rhian, President Dear Jack: This will confirm our agreement of March 9, 2004 pursuant to which I waived my entitlement to EBIT based commissions for 2003...

                                                               Exhibit 10(c)(ii)
                                                               -----------------




                                  July 16, 2004



         American Medical Alert Corp.
         0000 Xxxxxx Xxxx.
         Oceanside, NY  11572

         Attn: Xxxx Xxxxx, President

         Dear Xxxx:

                  This will confirm our agreement of March 9, 2004 pursuant to
which I waived my entitlement to EBIT based commissions for 2003 provided for
under my Employment Agreement dated January 1, 2001.

                                           Very truly yours,


                                           /s/ Xxxxxxxx X. Xxxxxx

                                           Xxxxxxxx X. Xxxxxx