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Polk County Sheriff’s Phone# 863-298-6200

If in an emergency Dial 911

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Vial of Life


Vial of Life

The Vial of Life is a nationally recognized medical program designed to aid emergency medical personnel by providing an individual's pertinent medical information. This information is readily available to emergency personnel, in the event you are unable to speak for yourself, or a member of your household is unable to speak for themselves.

The program consists of a plastic vial, one sticker, and a medical form for each person in the household and is available free to the public.

The medical form includes the following information:

  • Name, address, date of birth
  • Contact person for emergency situations
  • Allergies, prescriptions, current medical status
  • Physician's name and location 

The completed medical forms are inserted into the capped vial, and placed on the upper right-hand corner of the top shelf inside your refrigerator or placed in the refrigerator door, top shelf. The Vial of Life Sticker is attached to the outside of the refrigerator door. The sticker alerts emergency personnel of the completed vial's existence. (Please remember to print all information legibly and update.)

For more information, contact Crime Prevention at 863-298-6677.

Volunteer with vial of life sitting with many vials