HICS Forms |

HICS Forms

Hospital Incident Command System (HICS) is an incident command system (ICS) designed for hospitals sites providing medical care and intended for use in both emergency and non-emergency situations. The standard forms have been modified somewhat for TMTS operations. Each form can be downloaded in Word or PDF format. The PDFs can be printed or filled in electronically.

HICS Forms Workbook

Microsoft Excel workbook of all HICS Forms

[pl_button type=”success” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-Forms-Workbook.xls” target=”blank”] Excel Workbook (.xls)[/pl_button]

HICS 201 – Incident Briefing

[pl_button type=”info” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-201-Incident-Briefing.doc” target=”blank”] Word (.doc)[/pl_button] [pl_button type=”important” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-201-Incident-Briefing.pdf” target=”blank”] PDF (.pdf)[/pl_button]

HICS 202 – Incident Objectives

[pl_button type=”info” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-202-Incident-Objectives.doc” target=”blank”] Word (.doc)[/pl_button] [pl_button type=”important” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-202-Incident-Objectives.pdf” target=”blank”] PDF (.pdf)[/pl_button]

HICS 203 – Organization Assignment List

[pl_button type=”info” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-203-Organization-Assignment-List.doc” target=”blank”] Word (.doc)[/pl_button] [pl_button type=”important” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-203-Organization-Assignment-List.pdf” target=”blank”] PDF (.pdf)[/pl_button]

HICS 204 – Branch Assignment List

[pl_button type=”info” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-204-Branch-Assignment-List.doc” target=”blank”] Word (.doc)[/pl_button] [pl_button type=”important” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-204-Branch-Assignment-List.pdf” target=”blank”] PDF (.pdf)[/pl_button]

HICS 205 – Incident Communications Log(s)

[pl_button type=”info” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-205-Incident-Communications-Logs.doc” target=”blank”] Word (.doc)[/pl_button] [pl_button type=”important” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-205-Incident-Communications-Plan.pdf” target=”blank”] PDF (.pdf)[/pl_button]

HICS 206 – Staff Medical Plan

[pl_button type=”info” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-206-Staff-Medical-Plan.doc” target=”blank”] Word (.doc)[/pl_button] [pl_button type=”important” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-206-Staff-Medical-Plan.pdf” target=”blank”] PDF (.pdf)[/pl_button]

HICS 207 – Organization Chart

[pl_button type=”info” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-207-Organization-Chart.doc” target=”blank”] Word (.doc)[/pl_button] [pl_button type=”important” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-207-Organization-Chart.pdf” target=”blank”] PDF (.pdf)[/pl_button]

HICS 213 – Incident Message Form

[pl_button type=”info” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-213-Incident-Message-Form.doc” target=”blank”] Word (.doc)[/pl_button] [pl_button type=”important” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-213-Incident-Message-Form.pdf” target=”blank”] PDF (.pdf)[/pl_button]

HICS 214 – Operational Log

[pl_button type=”info” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-214-Operational-Log.doc” target=”blank”] Word (.doc)[/pl_button] [pl_button type=”important” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-214-Operational-Log.pdf” target=”blank”] PDF (.pdf)[/pl_button]

HICS 251 – Facility System Status

[pl_button type=”info” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-251-Facility-System-Status-Report.doc” target=”blank”] Word (.doc)[/pl_button] [pl_button type=”important” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-251-Facility-System-Status.pdf” target=”blank”] PDF (.pdf)[/pl_button]

HICS 252 – Section Personnel Time Sheet

[pl_button type=”info” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-252-Section-Personnel-Time-Sheet.doc” target=”blank”] Word (.doc)[/pl_button] [pl_button type=”important” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-252-Section-Personnel-Time-Sheet.pdf” target=”blank”] PDF (.pdf)[/pl_button]

HICS 253 – Volunteer Staff Registration

[pl_button type=”info” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-253-Volunteer-Staff-Registration.doc” target=”blank”] Word (.doc)[/pl_button] [pl_button type=”important” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-253-Volunteer-Staff-Registration.pdf” target=”blank”] PDF (.pdf)[/pl_button]

HICS 254 – Victim-Patient Tracking Form

[pl_button type=”info” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-254-Disaster-Victim-Patient-Tracking-Form.doc” target=”blank”] Word (.doc)[/pl_button] [pl_button type=”important” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-254-Victim-Patient-Tracking-Form.pdf” target=”blank”] PDF (.pdf)[/pl_button]

HICS 255 – Master Patient Tracking Form

[pl_button type=”info” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-255-Master-Patient-Evacuation-Tracking-Form.doc” target=”blank”] Word (.doc)[/pl_button] [pl_button type=”important” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-255-Master-Patient-Evacuation-Tracking-Form.pdf” target=”blank”] PDF (.pdf)[/pl_button]

HICS 256 – Procurement Summary Report

[pl_button type=”info” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-256-Procurement-Summary-Report.doc” target=”blank”] Word (.doc)[/pl_button] [pl_button type=”important” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-256-Procurement-Summary-Report.pdf” target=”blank”] PDF (.pdf)[/pl_button]

HICS 257 – Resource Accounting Record

[pl_button type=”info” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-257-Resource-Accounting-Record.doc” target=”blank”] Word (.doc)[/pl_button] [pl_button type=”important” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-257-Resourse-Accounting-Record.pdf” target=”blank”] PDF (.pdf)[/pl_button]

HICS 258 – Resource Directory

[pl_button type=”info” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-258-Resource-Directory.doc” target=”blank”] Word (.doc)[/pl_button] [pl_button type=”important” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-258-Resource-Directory.pdf” target=”blank”] PDF (.pdf)[/pl_button]

HICS 259 – Casualty Report

[pl_button type=”info” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-259-Casualty-Report.doc” target=”blank”] Word (.doc)[/pl_button] [pl_button type=”important” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-259-Casualty-Report.pdf” target=”blank”] PDF (.pdf)[/pl_button]

HICS 260 – Patient Tracking Form

[pl_button type=”info” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-260-Patient-Evacuation-Tracking-Form.doc” target=”blank”] Word (.doc)[/pl_button] [pl_button type=”important” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-260-Patient-Tracking-Form.pdf” target=”blank”] PDF (.pdf)[/pl_button]

HICS 261 – Incident Action Safety

[pl_button type=”info” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-261-Incident-Action-Plan-Safety-Analysis.doc” target=”blank”] Word (.doc)[/pl_button] [pl_button type=”important” link=”http://alternatecaresiteplanning.com/wp-content/uploads/2012/09/HICS-261-Incident-Action-Safety.pdf” target=”blank”] PDF (.pdf)[/pl_button]