The
Vial of L.I.F.E. is Lifesaving Information For
Emergencies. It's a place for you to store important medical
information that emergency medical personnel (firefighters, paramedics,
and hospital staff) need in a time of crisis. By completing the
attached Vial of L.I.F.E. form, you can provide the emergency
personnel with vital lifesaving information, even if you are unable.
It is very important that you keep this information up to date,
accurate, and placed in a prominent spot in your refrigerator.
The Vial of L.I.F.E. Kit is available free as a public service
from the San Jose Firefighters Union Local 230 and The San Jose
Fire Department. It can be obtained by contacting any San Jose
Fire Station, or the San Jose Fire Department Emergency Medical
Services Division at 408.277.4084.
How to use the Vial of L.I.F.E.
-
Please complete a Vial of L.I.F.E. form. Be sure to include
the date that you completed this form (this will help emergency
personnel know how recent is the medical information.)
-
Attach a photograph of yourself to the second page of the form.
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Fold the Vial of L.I.F.E. form and put it inside the Vial of
L.I.F.E. container.
-
Place the Vial of L.I.F.E. container on the top shelf inside
your refrigerator door, closest to the door handle
-
Attach the Vial of L.I.F.E. magnet to the outside top corner
of your refrigerator door to alert emergency personnel to the
presence of Vial of L.I.F.E. information.
You may obtain the Vial of L.I.F.E. by picking up a kit at any
one of San Jose's 31 Fire Station locations.
All Fire Stations can be contacted by calling 408.277.4444 during
normal business hours.
Note:
We recommend that you update your medical or personal information
if there are any changes. Additional forms can be obtained by
calling 408.277.4084, or you may download
(566KB) and print your own form in Adobe Acrobat .pdf format.
If you don't already have the free Adobe Acrobat Reader, download
it now...
