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Vial of Life

Lifesaving Information For Emergencies

How to Set Up Your Vial of LIFE kit:

  1. Print out and fill out the Vial of LIFE Form
    • Complete both sides of the form by answering the questions. All questions are optional.
  2. Place the form in a plastic envelope
    • Make sure the cover of the Vial of LIFE Form is placed in the envelope facing you
    • Consider placing a recent picture of yourself in the plastic sleeve.You may also consider placing a copy of your DNR (Do Not Resusciatate) and/or Living Will in a separate envelope and taping it to the refrigerator.
  3. Place on refrigerator door
    • Place the magnetic envelope with the completed Vial of LIFE Form on the outside of your refrigerator. Place it at eye level so that first responders can easily find your complete medical information.

If you have any questions call the Department of Senior Affairs at (505)764-6400 or ask your Care Coordinator.

vial of life cover