When seconds count, providing paramedics with your medical information can save your life!

The Envelope of  Life program provides residents of Cuyahoga Falls with a medical information form that can be easily accessed by first responders in the event of an emergency. This form provides vital medical information such as: current medical conditions, medical history, current medications, and any known allergies. The form can easily be filled out personally or with your Primary Care Physician.

The completed form is placed in a magnetic envelope should be placed on the front of your refrigerator. This will provide our safety forces with the information they need when caring for you during an emergency.

How to Participate in the Envelope of Life Program

  1. Fill out the form online and submit it by clicking here.
  2. Request your Envelope of Life by calling (330) 971-8000
  3. Download the form, fill it out, and print it. After filling out the form mail it to: Cuyahoga Falls City Hall, 2310 Second Street, Cuyahoga Falls, OH 44221

Please fill out the form thoroughly - either personally or with your Primary Care Physician then place the completed form inside your red, magnetic Envelope and attach it to your refrigerator.

Please utilize these documents to complete the Envelope of Life process: