I've seen/have a few such PCBs and assumed I could use half a normal pad - just never needed to try it - sorta fits as I'm only about half-normal, myself.
A new PCB would require a few $K for FCC approvals and I doubt these volunteers want to spring for that.
I've also suggested they look at alternatives which I've listed below in case anyone has an interest.
http://want2care.com/guardian_alert_911.html
http://cordlessworkz.com/telemergenc...rt-device.aspx
http://www.directsalesinc.com/noname2.html
http://www.elderstore.com/wireless-e...ne-dialer.aspx
http://www.amazon.com/Help-Hand-Emer.../dp/B00012K246
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