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VIAL OF LIFE Full Name: Sex: Male Female Address: City: Doctor(s): Dr. Phone: Phone: Birthdate: MEDICAL CONDITIONS Check all that exist: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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A Vial of Life is a list of your medical history, current medications, and emergency contacts. You keep it on the fridge so paramedics can give you proper medical treatment during an emergency. SafeWise is an independent review site.

Vial of Life programs are commonly used by Senior citizens and are promoted by senior center organizations, and fire departments, and other community organizations. The decals, medical information forms, and other materials are typically free, and some may be downloaded and/or printed for free from the internet.

The Vial allows individuals to have their vital medical information such as medications, medical history, allergies, and emergency contact information readily available for first responders. The Vial is ideally stored on the top shelf in the refrigerator, or other clear and visible location in a common area.

“Vial of Life” Program The program is provided free of charge to residents in the community at no cost to the Tax Payer due to the generous support of the Corona Fire Safety Foundation, Corona Regional Medical Center, and Kaiser Permanente.

Simply put, the VIAL OF LIFE is a way to have important life-saving. information available for Emergency Medical Responders in the event. that you are injured or take ill at home and are unable to communicate. A highly visible decal on your front door or window informs.

Vial a Life Program The Vial a Life is a form that is stored on your refrigerator. When emergency responders are called to your home they will see the Vial a Life sticker on your front door and know to go to your refrigerator to get your important medical information.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232