Yellow Dot Program
When time is critical let the EMTs know how to save you!
A Yellow Dot in the bottom left corner of the rear window of your vehicle and on the side of your refrigerator will alert all First Responders to the vital medical information in your glove box. This will help ensure that you receive the medical care you need during that first ‘Golden Hour’ after a crash or other emergency.
Share the information with your friends and neighbors, and all those who rely on you for transportation.
Download the forms below to create your Yellow Dot profile. Keep the filled out forms in your car and update them annually.
File for Life
This form contains all the information needed by first responders to make sure they have vital information about you and your healthcare needs during that critical first hour after an accident or emergency. You may enter as much or as little information as you want. It's your form - your decision.
Physicians Orders for Life Sustaining Treatment Form (POLST)
This form complements an Advance Directive and provides details regarding your wishes regarding CPR, medical interventions and other possible treatments. Complete instructions and important information is on the form. You may also visit the POLST California website (hwww.capolst.org) for additional information about advanced care planning.
Doctor Authorization Form
This document authorizes you doctor to complete the File for Life and Physicians Orders for Life Sustaining Treatment (POLST) forms for your review and subsequent approval and/or signature.