Keeping a record of your Personalized Health Information (PHI) in an easy-to-access place can save your life! In the event that you ever have to be transported away from your home in an ambulance, keeping your PHI in a magnetic pouch on your refrigerator is something local EMS personnel are trained to look for. This alerts them to drug allergies and other important personal facts that will help them to safely manage your care.
After downloading and completing the PDF form below, print it out and save the document to your personal computer so that you can update it regularly.
Click here to fill out your PHI in English or Spanish. Save it to your computer, fill out and print. Then hang it on your refrigerator so first responders can easily locate it in case of emergency.
If you would like to obtain a complete PHI kit (includes a magnetic PHI sling and an accompanying sticker for the front of your home), please call Jasmin Garcia at (512) 753-3813.