ICS 206 Medical Plan

Purpose.

The Medical Plan (ICS 206) provides information on incident medical aid stations, transportation services, hospitals, and medical emergency procedures.

Preparation.

The ICS 206 is prepared by the Medical Unit Leader and reviewed by the Safety Officer to ensure ICS coordination. If aviation assets are utilized for rescue, coordinate with Air Operations.

Distribution.

The ICS 206 is duplicated and attached to the Incident Objectives (ICS 202) and given to all recipients as part of the Incident Action Plan (IAP). Information from the plan pertaining to incident medical aid stations and medical emergency procedures may be noted on the Assignment List (ICS 204). All completed original forms must be given to the Documentation Unit.

Notes:

The ICS 206 serves as part of the IAP. This form can include multiple pages.

More Information

You can save your completed HTML to a text file. This will allow you to reload the ICS205A with ALL entered form data. You do this prior to submitting the form. Then you can open a new 205A and load the saved HTML form data. NOTE: Date and Times will be the previous, so change if needed. This is much like using FireFox and the addon Formlet. It will save the info as a text file with the Date and Time as the text file name. Now you can use any browser, save your form, (as many versions as you like), and then re-populate.

Printing this form is dependent upon your selected printer and its settings. Various Web Browsers and and their viewing sizes are not all the same. Printing from a browsers print function may be different from the operating systems default print mode. Select what works for you, for both printing and viewing. You may print direct to the printer as a HTML or save as a PDF then print the PDF. In some instances Landscape mode may print better than Portrait.
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 Medical Plan       ICS 206  

         Form Info
 1. Incident Name:  
  2. Operational Period:
Date From: Date To:
Time From: Time To:
  3. Medical Aid Stations
Name Location Contact
Number(s)/Frequency		 Paramedics
Yes No
Yes No
Yes No
Yes No
Yes No
4. Transportation
Ambulance Services Address and Phone Contact
Number(s)/Frequency		 Level of Service
ALS BLS     
ALS BLS     
ALS BLS     
ALS BLS    
5. Hospitals   
Hospital Name Address,
Latitude & Longitude
if Helipad		 Contact
Number(s)/
Frequency

Travel Time

 Trauma
Center 		 Burn Center Helipad
Air Ground
  Yes - Level:
Yes
No
Yes
No
  Yes - Level: Yes
No
Yes
No
  Yes - Level:
Yes
No
Yes
No
  Yes - Level:
Yes
No
Yes
No
  Yes - Level:
Yes
No
Yes
No

  6. Medical Emergency Procedures   (Be brief)
 

 7. Prepared by (MUL):      

 8. Approved by (Safety Officer):      Date/Time:       IAP Page:

                     ICS 206  Vers 14.2