Brochures

  • Your kit contains AE1113
    This page describes the page contents of the kit.

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  • Attention Form AE1113
    This is folded and placed in the middle window of the kit. You should complete, sign and date the scenario that is applicable to you.

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  • Request to hold kit AE 1113
    This page is used as a letter to the institution that you wish to have a kit held. It provides place for the parent or guardian’s signature in regard to responsibility.

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  • Problem card AE1113
    This card goes in the bottom right window next to the picture of the person who requires the medication. It should be completed by your Doctor and explains in simple terms the symptoms of the medical problem.

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  • Thank you for your purchase AE1113
    Forwarding letter when sending out the kit and station.

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  • SetUp Flyer
    This flyer gives step by step instructions on setting up your kit.

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  • Management card AE1113
    This card goes in the pocket with the medication. It should be completed by your Doctor and a simple explanation of the treatment that is required.

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  • Request to Doctor AE 1113
    This is a letter to your Doctor explaining the kit and asking them to assist you with the set up process.

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Sabrina’s Law


Learn more about Sabrina's Law.
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Emergencies


Are you prepared for an emergency?
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Order Forms

Downloadable PDF Order Form

You can download our order form and print it on a standard 8-1/2" x 11" sheet of paper.

Simply complete the order form and mail it to us at the address, or Fax it to 250-743-0752.