Vial of L.I.F.E. Form

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The vial of life program is offered to citizens to assist the Fire Department or other emergency responders in case of an emergency.  If you are unconscious and are unable to give emergency responders any medical information, the vial of life can provide information such as current medications, medical history, allergies and contact information. 

The paperwork should be kept in the clear plastic bag and hung on the front of your refrigerator - responders know to look there for the information.  For free bags, stickers and forms please contact the South Daytona Fire Department or download the form here.

View and print out form.

Contact Information

If you have any questions regarding this service, please contact .

A View of South Daytona

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1672 S. Ridgewood Avenue
South Daytona, FL 32119
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