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MERRIMACK POLICE DEPARTMENT 31 Basic Lake Road Merrimack, NH 03054 (603) 4243774 Fax (603) 4241760 www.merrimacknh.gov/policedepartment N.H. Vial of Preregistration Form The below information is requested
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How to fill out vial of life merrimack
How to fill out vial of life merrimack
01
Gather all necessary information to fill out the vial, such as medical history, current medications, allergies, emergency contacts, and any other relevant information.
02
Open the vial and carefully remove any pre-printed forms or documents that may be included.
03
Begin filling out the vial by writing your full name and date of birth on the provided label or form.
04
List any medical conditions or diagnoses that you have, along with details on any chronic illnesses or disabilities.
05
Include a current list of all medications you are taking, including the dosage and frequency.
06
Write down any known allergies or adverse reactions you may have to medications or substances.
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Provide emergency contact information, including names, phone numbers, and their relationship to you.
08
If applicable, indicate any advance directives or medical power of attorney documentation that has been created.
09
After completing the necessary information, carefully place everything back into the vial and seal it securely.
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Store the vial in a visible and easily accessible location within your home, preferably near the refrigerator or on a bedroom nightstand.
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Remember to keep the vial updated regularly with any changes to your medical history, medications, or emergency contacts.
Who needs vial of life merrimack?
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The vial of life Merrimack is designed for individuals of all ages who have significant medical conditions, chronic illnesses, or disabilities.
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It is especially beneficial for individuals who live alone, have complex medical histories, or take multiple medications.
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What is vial of life merrimack?
Vial of Life Merrimack is a program that allows individuals to provide vital medical information to first responders in case of an emergency.
Who is required to file vial of life merrimack?
Anyone who wants to ensure that their medical information is readily available to first responders can file a Vial of Life Merrimack form.
How to fill out vial of life merrimack?
To fill out a Vial of Life Merrimack form, you can download the form online, fill in your medical information, and place it in a vial in your refrigerator.
What is the purpose of vial of life merrimack?
The purpose of Vial of Life Merrimack is to provide first responders with quick access to important medical information in case of an emergency.
What information must be reported on vial of life merrimack?
The Vial of Life Merrimack form typically includes information such as your name, emergency contacts, medical conditions, medications, allergies, and other important health information.
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