Vial Of Life Medical Information Form Page 2

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Vial of Life Instructions
• Fill out the information sheet on the back side of this
form
• Fold and roll the information Sheet into the vial
• Place the vial in the inside shelf of the door of your
refrigerator
• Place the magnet on the upper right hand corner of
your refrigerator
• Keep your information sheet updated as necessary and
make a copy to keep, as it may be taken to the hospital

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