Professional Documents
Culture Documents
Medical Plan ICS 206
Medical Plan ICS 206
MEDICAL PLAN
ICS 206
5. HOSPITALS
With With With
Contact Contact Travel Time Trauma Burn Helipad?
Name Location Center? Center?
Person Number(s)
Air Land Yes No Yes No Yes No
__ Check if aviation assets are utilized for rescue. If assets are used, coordinate with Air Operations Branch.
7. Prepared by MEDL Name and Signature: Date Prepared: Time Prepared:
PURPOSE: The ICS 206 provides information on incident medical aid stations, transportation
services, hospitals, and medical procedures primarily intended for the responders.
PREPARATION: The ICS 206 is prepared by the Medical Unit Leader (MEDL) and reviewed by
the Safety Officer (SOFR).
DISTRIBUTION: The ICS 206 is duplicated and attached to the ICS 202 and given to all recipients
as part of the Incident Action Plan (IAP). All completed original forms must be given to the
Documentation Unit.
5. HOSPITALS
With With With
Contact Contact Travel Time Trauma Burn Helipad?
Name Location Center? Center?
Person Number(s)
Air Land Yes No Yes No Yes No
St. Jude Dr. Maja 20
Bo. Subic 98765 / / /
Hospital Salvadore mins
__ Check if aviation assets are utilized for rescue. If assets are used, coordinate with Air Operations Branch.
Name and Signature:
Date Prepared: Time Prepared:
7. Prepared by MEDL Gu
09-16-20xx 1500H
Gu Jun Pyo
Name and Signature:
Date Reviewed : Time Reviewed:
8. Reviewed by SOFR Kathryn
09-16-20xx 1700H
Kathryn Bernardo