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VIAL OF LIFE Provided by The Perry Joint Fire District 1. 2. 3. 4. 5. Fill out one form for each member of your household. Feel free to make more copies of the form. Fold the form in half twice the
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How to fill out vial of life

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How to fill out vial of life

01
Start by obtaining a vial of life kit, which you can often find at your local fire department or medical supply store.
02
Once you have the kit, gather all the necessary information about your medical history, current medications, allergies, emergency contacts, and any other relevant details.
03
Write down this information on the provided medical form or use the online template provided by the vial of life program.
04
Be sure to include your full name, date of birth, and any specific medical conditions or instructions that first responders should know.
05
Place the completed medical form inside the vial and seal it.
06
Next, find a prominent location inside your home where first responders can easily locate the vial in case of an emergency. Common areas include the refrigerator door or a visible spot on the kitchen counter.
07
Attach the provided vial of life decal or sticker on the outside of your front door or window to alert emergency personnel that you have a vial of life inside your home.
08
Regularly update the information in your vial of life as needed, especially if there are any significant changes in your medical condition or emergency contacts.
09
Inform your family members, close friends, or neighbors about the existence and location of your vial of life so they can also notify emergency responders in case you are unable to do so.
10
Remember to check the expiration date on any medications inside the vial and replace them as needed.

Who needs vial of life?

01
Anyone with medical conditions such as allergies, chronic illnesses, or serious diseases could benefit from having a vial of life.
02
Senior citizens who live alone or have complex health issues should also consider having a vial of life.
03
Individuals taking multiple medications or undergoing extensive medical treatments should have a vial of life to provide crucial information to emergency responders.
04
Parents or caregivers of children with special needs, chronic health conditions, or severe allergies should have a vial of life to ensure the child receives appropriate care in an emergency.
05
People at higher risk of accidents or sudden health emergencies, such as those with epilepsy, heart disease, or respiratory problems, should have a vial of life.
06
It is always better to be prepared, so anyone can choose to have a vial of life as a precautionary measure in case of unexpected emergencies.
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Vial of life is a medical information form stored in a vial inside the refrigerator that contains important health information in case of emergency.
Anyone with medical conditions, allergies, or medications that may be relevant in an emergency situation is encouraged to file a vial of life.
To fill out a vial of life, you need to include your personal information, emergency contacts, medical conditions, allergies, medications, and any special instructions.
The purpose of vial of life is to provide crucial medical information to first responders and medical personnel in case of an emergency when the patient is unable to communicate.
The information reported on vial of life should include personal details, emergency contacts, medical history, allergies, medications, and any other relevant health information.
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