MEDICAL PLAN 1. Incident Name

 2. Date Prepared
 3. Time Prepared
 4. Operational Period
5. Incident Medical Aid Station
Medical Aid Stations
 Location
       Paramedics















6. Transportation
A. Ambulance Services
Name Address
 Phone
 Paramedics




















B. Incident Ambulances
Name
 Location
 Paramedics















7. Hospitals
Name
 Address
   Travel Time
  Air        Grnd
 Phone
 Helipad
 Burn
Center






























8. Medical Emergency Procedures

9. Prepared by (Medical Unit Leader)

 10.Reviewed by (Safety Officer)