Village of South Holland Find Us on Facebook!  Follow Us on Twitter!  Watch Our Videos on Vimeo!  Watch Us on YouTube!  See Our Pictures on Flickr!
Fire Department
About Us
Fire Department Home
Warning Sirens
Parade of Lights
Christmas in July
Food Drive
St. Baldricks
Charity Event
Pancake Breakfast
Safety
Code Red
Community Notifications
Info For Seniors
Medication Disposal
After the Fire
Public Awareness
CPR Classes
Firefighter II Academy
When to Call 911
Extinguishers
Post-Incident
Citizen Training
Operations
Fire Operations
Personnel
Stations and Vehicles
Hydrants
Fire Inspections
Personal Medical Sheet
DNR / Living Will
Dial 911 for
Emergencies
South Holland
Fire Department

16230 Wausau Avenue
South Holland, IL 60473
Phone: 708-331-3123
Fax: 708-210-1171

We encourage you to
call with your questions.
Personal Medical Information Sheet
South Holland Fire Department Logo Personal Medical Information Sheet

Who speaks for you when you are unconscious or otherwise unable to communicate with a paramedic?

Everyone at any age should complete this form. Store it on the refrigerator and place a second copy over the visor in your car. Making it available to paramedics entering your home could considerably reduce the time they spend acquiring medical information about the patient prior to treatment. This could even be a life saving document if the patient is unconscious and no one is familiar with their medical history or medications.

Get Your Personal Medical Information Sheet Below


View this in full screen.

Village of South Holland  -  16226 Wausau Avenue  -  South Holland, Illinois 60473  -  708-210-2900
Powered by vBulletin®, Copyright ©2014, Jelsoft Enterprises Ltd.  Powered by vBadvanced CMPS

All content on this website is Copyright ©2013, Village of South Holland. All rights reserved.
Any unauthorized use or reproduction is strictly prohibited. This website is best viewed at resolutions of 1024x768 or higher.

Employee Login