Vial of Life

Patient Information for use by EMS and Staff at a Receiving Medical Facility

Cary Area EMSThis information is to be kept secure with the patient or with other patient records under the protection of the Health Insurance Portability and Accountability Act (HIPAA). The form is intended to provide medical personnel with needed information. It is up to the individual to determine what information will or will not be provided. Please make a copy for EMS to take and place on your refrigerator.

Download a blank patient information form

Contact Wake County EMS 919-856-6020