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When emergency crews arrive, the Vial of Life can speak for you even when you can’t

How to use the Vial of Life properly

clip_image001 1. Fill out the Vial of Life form

  • Fill out the vial form located on reverse side. Answer all or any pertinent questions. Remember to keep your information up to date.
  • Make blank copies of this form to keep information current
    or go to to maintain and store updated

clip_image002 2. Place the sticker on front of a plastic baggie

  • Place the form you filled out in the plastic baggie.
  • You may also consider placing the following items in the baggie.
  • Copy of EKG
  • DNR ( Do Not Resuscitate)
  • Living will or equivalent
  • Recent Picture of self

clip_image003 3. Place the baggie on your refrigerator door or inside of refrigerator or freezer

  • Securely tape plastic baggie to front of refrigerator door.
  • Place the decal on the side of your refrigerator or on the front door where anyone responding to an emergency could easy see it.

clip_image004 4. Place the second sticker on your front door or window

  • Place the decal on the front door so it can easily be seen by anyone responding to an emergency.
  • If you would like the sticker inside of a window near the front door, you can tape it to the inside of the window in clear view of the front door.

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