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Get OH Central Ohio Millennium Vial Of Life Program 2008-2024
In case of emergency. The form below should be carefully completed, and using the magnetic clip provided, please place on the front of your refrigerator. Please attach any pertinent legal documents. VIAL OF LIFE FOR: Date Form Completed: Date of Birth: Name: (M) (F) Address: Telephone: Medicare #.
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Pacemaker FAQ
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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.
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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.
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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. Think of the Vial of Life as the longer version of a medical ID bracelet.
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Vial of Life program includes a large medicine vial container and a one-page form. The form asks each person to complete sections about their medical history, allergies, medications and emergency contacts. Additional copies of medical documents such as DNR (do not resuscitate) orders may also be added to the vial.
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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.
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Place the vial in your refrigerator so that it is easy to find by paramedics or emergency personnel. Lastly, put the red Vial of Life sticker on your door so that medical personnel and first responders know you have a Vial of Life in your refrigerator.
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