Vial of Life Program
Sutter Roseville Medical Center


What Is The Vial Of Life Program?
The Vial of Life is a medical history document that provides crucial personal and medical history in case of an emergency. The documents provide paramedics and firefighters with crucial personal and medical information that will speak for you if you are unable to communicate in the event of an emergency.

How Do I Use The Vial Of Life?
There are six easy steps to using the Vial of Life.
  1. Fill out the information completely, making sure it is current and legible.

  2. Fold and roll the completed information form and place it in the plastic vial. (If you have a "Do Not Resuscitate" form be sure to attach a copy.)

  3. Place the vial containing your medical information on the top shelf of your refrigerator door.

  4. Place the Vial of Life sticker on the door of your refrigerator at about the same location as the vial inside.

  5. Place another Vial of Life sticker on your front door.

* You can keep an additional Vial of Life in the glove compartment of your car.

How Often Do I Need To Update The Information?
The Vial of Life will only work if the information is accurate and complete. For a new form, click here or call (916) 781-1559 or (530) 886-6676 and leave your name and address and we will mail a new form to you.

The Vial of Life Program in Placer County is a collaborative program of:
  • American Medical Response

  • Auburn Fire Department

  • CDF/Placer County Fire

  • Lincoln Fire Department

  • Loomis Fire Protection District

  • Newcastle Fire Protection District

  • Penryn Fire Protection District

  • Placer Consolidated Fire District

  • Placer Fire Protection District

  • Rocklin Fire Department

  • Roseville City Fire Department

  • South Placer Fire Protection District

  • Sutter Auburn Faith Hospital

  • Sutter Roseville Medical Center
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