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rcThe Nunda Volunteer Ambulance Service started a project last year to create and distribute an Emergency Medical Information form and envelope that can completed by our community's citizens and placed in a convenient location.

This packet, if made available and kept up to date with all allergies, past medical history and medications, will allow the Nunda EMS Crew members to provide quicker and better care to our citizens in the case of an emergency medical call.


A couple of things to remember:

  1. Completely fill out all of the information on the form, including all allergies, medications and past medical history.

  2. If you have discussed and filled out a DNR (Do Not Resuscitate) form or a MOLST form with your doctor, please include a copy in the envelope.

  3. Place it in on the front door of your refrigerator, in your kitchen

  4. Keep it UP TO DATE !!

If you need additional copies of the Emergency Medical Info form, you can print additional copies below.


pdf  Emergency Medical Information Sheet Refills
Click here to download the free Acrobat Reader program


If you would like more information on the DNR or MOLST form, you can visit the state's website below.

https://www.health.ny.gov/professionals/patients/patient_rights/molst/

If you need replacement envelopes, please see a Nunda Volunteer Ambulance member or check at the Nunda Family Pharmacy.

MEd Info
              Envelope

medinfo


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Updated 01/01/2017