Project Name Date Prepared Name of Preparer MEDICAL PLAN Transportation Ambulance Services Paramedics Name Address Phone Yes No Hospitals Travel Time Helipad Burn Center Name Location Phone Air Ground Yes No Yes No Medical Emergency Procedures Provide detailed Emergency Medical Procedure for project (Refer to instructions to complete)
MEDICAL PLAN Project Name Date Prepared Name of Preparer Transportation Ambulance Services Name Address Phone Paramedics Yes No Hospitals Name Location Travel Time Air Ground Phone Helipad Yes No Burn Center Yes No Medical Emergency Procedures Provide detailed Emergency Medical Procedure for project (Refer to instructions to complete)
idc017541.docx