Free Vial of Life

Help first responders find your medical information to treat you.

Vial of Life pill bottle decal

Vial of Life Vials from Better Health Pharmacy

Get a FREE* Vial of Life Kit from Better Health Pharmacy

The Vial of Life kit includes a door decal, a Vial of Life pill bottle, and Vial of Life important medical information document. This kit can save your life in the event of a medical emergency when paramedics and first responders arrive.

To get your FREE Vial of Life kit (limit 1 free kit per person while supplies last):

  1. Complete your Vial of Life Important Medical Information Form online or print a PDF copy out and fill it out on paper.
  2. Bring the completed form to Better Health Pharmacy and we will give you a Vial of Life Door Sticker and Vial of Life pill bottle. (Get directions to our store)
  3. Bring the kit home, and put your Vial of Life Medical Information form inside the Vial of Life pill bottle. Place the vial in your refrigerator so that it is easy to find by paramedics or emergency personnel.
  4. Lastly, put the red Vial of Life sticker on your door so that medical personnel and first responders know you have a Vial of Life in your refrigerator.

*Limit 1 Vial of Life kit per person. While supplies last.

Vial of Life Form

Store Your Vial of Life Form With Us Online

You can store your Vial of Life Medical Information form with us online using our HIPAA compliant system. This will allow you to come back later, change the information and reprint an updated copy. Storing your information is not necessary. Any information stored on this site will be maintained for you as stated in our Privacy Policy. You can delete the information anytime by clicking on the email notification you originally received when you filled out the form.

Fill Out My Vial of Life Medical Info Form

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