The Patient Information Capsule (PIC) program ensures EMS providers can obtain your pertinent medical information when you are not able to communicate with us.  Important medical information, names of medication and forms are placed in a plastic tube which is kept in your freezer.  A magnet is placed on the freezer door to alert responders that you have a PIC tube.

Place your completed forms in the PIC tube and keep it in your freezer. Put the silver magnet on the freezer door to alert responders that you have a PIC.

The forms can be downloaded here.  You can also call us at the station to request a capsule, magnet and blank forms.  Be sure to include copies of any relevant medical information such as medication lists, Do Not Resuscitate Orders, Living Wills, and Health Care Proxy’s in the tube. Remember to keep all forms up-to-date.