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How to use the Vial of Life properly

Follow these 4 simple steps to using your Vial of Life. You can also save and store this information at VialofLife.com for easy future access to change information like Meds, Doctors, Etc.


1. Fill out the Vial of Life form

  • Fill out the vial form located on reverse side. Answer all or any pertinent questions.

  • Make blank copies of this form to keep information current
    or go to www.vialoflife.com to maintain and store updated
    information.

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

3. Place the baggie on your refrigerator door
  • 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.

4. Place the second decal on your front door
  • Place the decal on the front door so it can easly be seen by anyone responding to an emergency.

You can store and print out the form.

Storing the form allows you to come back later, change the information and reprint an updated copy. Storing your information is not necessary...it's an added convenience for you. Any information stored on this site will be maintained for you as stated in our Privacy Policy. Simply....all information is confidential and we will never disclose or share your information.

To store information, you must become a member.

Become a member
Log-in, give your email address and select a password (must fill out *required fields).

"Personally, I believe that storing your information is the easiest method".

When information is stored, it allows you to easily change your medical information, telephone numbers, doctors, etc. and print out an updated copy.

I hope you enjoy this site. Tell your family and friends how the Vial speaks for them when they can't speak for themselves.

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4712 Admiralty Way #229, Marina Del Rey, CA 90292

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4712 Admiralty Way #229, Marina Del Rey, CA 90292