Vial of Life Medical Information Form

Vial of Life paperwork

The Lenexa Fire Department responds to thousands of medical calls every year. One of the first things emergency crews ask for is the patient’s past medical history and a list of current medications.

This information plays an important role in a patient’s diagnosis and treatment. Having a current list of your past medical information in one location can save valuable time in an emergency, especially if you are not able to communicate this information yourself. The Vial of Life Project consolidates this information in one location so emergency crews can easily find it.

How to participate

The free Vial of Life kit includes two stickers and a form. Fill out the form with all the necessary information and place it in a bag. Place one sticker on the bag and attach the bag to your refrigerator. Then place the second sticker on your door to let emergency crews know your information is available.

Three ways to get a Vial of Life kit

  1. Request a kit to be mailed to you at VialOfLife.com.
  2. Pick up a kit at City Hall (17101 W. 87th St. Pkwy.) or Fire Department Station 1 (9620 Pflumm Rd.)
  3. Call 888.931.1010 to make arrangements to have a kit delivered to you.
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