VIAL OF LIFE 2025

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  1. Click ‘Get Form’ to open the VIAL OF LIFE document in the editor.
  2. Begin by entering your basic information, including your name, address, and emergency contact details. Ensure that all fields are filled accurately for effective communication during emergencies.
  3. Proceed to the Identifying Information section. Here, specify your gender, height, weight, date of birth, and other personal identifiers such as hair color and blood type.
  4. In the Medical History section, check any conditions you have been treated for. This information is crucial for medical responders.
  5. Fill out the Current Medical Information section with your doctor's details and current medications. If you have more medications than space allows, attach a separate page.
  6. Complete the Hospital Information section by indicating your hospital preference and any relevant medical insurance coverage.

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The Vial of Life program helps you to compile personal information and have it available for 911 responders in the event of an emergency. A Personal Information Sheet is completed and stored inside a prescription medication type Vial which is then placed inside your refrigerator for safe storage.
It is critical that this information remains up to date and accurate. the vial, a plastic medicine bottle with a Vial of L.I.F.E. decal, that it is kept in your refrigerator door.
Free Vial of Life Print your Vial of Life Form and fill it out. Bring the completed form to Better Health Pharmacy and we will give you a Vial of Life Door Sticker and Vial of Life pill bottle. Bring the kit home, and put your Vial of Life Medical Information form inside the Vial of Life pill bottle.
Vial of Life kits provide emergency responders with immediate access to medical information during a home emergency. The kits include stickers to mark the home and bag with medical info form and documents. Vial of Life forms collect vital personal, medical, and emergency contact information.
Download and Print the Form: Start by downloading the printable Vial of Life form. Fill Out the Form Thoroughly: Take your time to fill out the form. Include your personal identification, medical conditions, current medications, allergies, and emergency contact information. Be as detailed and accurate as possible.
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People also ask

The Vial of Life (French: Fiole de vie), also known as Vial of L.I.F.E. (Lifesaving Information for Emergencies), is a program that allows individuals to have their complete medical information readily available in their homes for emergency personnel to reference during an emergency.
The Vial of L.I.F.E. contains your medical information (history, known drug allergies, current medications) and contact information. It puts helpful information regarding your medical history in the hands of EMTs when it is needed mostduring the first minutes of critical illness or accident in your home.

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