MEDICAL PLAN 1. Incident Name
:nam:
2. Date Prepared
:dat:
3. Time Prepared
:tim:
4. Operational Period
:opp:
5. Incident Medical Aid Station
Medical Aid Stations
Location
      Paramedics
:msta0:
:mloc0:
:mpar0:
:msta1:
:mloc1:
:mpar1:
:msta2:
:mloc2:
:mpar2:
:msta3:
:mloc3:
:mpar3:
:msta4:
:mloc4:
:mpar4:
6. Transportation
A. Ambulance Services
Name Address
Phone
Paramedics
:tname0:
:taddr0:
:tphon0:
:tpara0:
:tname1:
:taddr1:
:tphon1:
:tpara1:
:tname2:
:taddr2:
:tphon2:
:tpara2:
:tname3:
:taddr3:
:tphon3:
:tpara3:
:tname4:
:taddr4:
:tphon4:
:tpara4:
B. Incident Ambulances
Name
Location
Paramedics
:aname0:
:aloca0:
:apara0:
:aname1:
:aloca1:
:apara1:
:aname2:
:aloca2:
:apara2:
:aname3:
:aloca3:
:apara3:
:aname4:
:aloca4:
:apara4:
7. Hospitals
Name
Address
  Travel Time
  Air        Grnd
Phone
Helipad
Burn
Center
:hname0:
:haddr0:
:hatim0:
:hgtim0:
:hphon0:
:hheli0:
:hburn0:
:hname1:
:haddr1:
:hatim1:
:hgtim1:
:hphon1:
:hheli1:
:hburn1:
:hname2:
:haddr2:
:hatim2:
:hgtim2:
:hphon2:
:hheli2:
:hburn2:
:hname3:
:haddr3:
:hatim3:
:hgtim3:
:hphon3:
:hheli3:
:hburn3:
:hname4:
:haddr4:
:hatim4:
:hgtim4:
:hphon4:
:hheli4:
:hburn4:
8. Medical Emergency Procedures
:proc:
9. Prepared by (Medical Unit Leader)
:prep:
10.Reviewed by (Safety Officer)
:rvwr:


ICS206