Surge Forms

The Alliance is currently under contract with the State of Louisiana to provide Emergency Response Units and Staff in response to natural and man-made disasters.  All Louisiana providers are eligible to participate in response under this contract.  For more information, please contact the Alliance office. 

Related Documents: 

2018 Deployment Guide

Crew Change Form

Daily Activity Log Instructions

Daily Activity Log

EMS Surge Demob Registration Form

EMS Surge Unit Personnel Registration Form

EMS Surge Unit Registration Form

ICS Forms

LAA Resource Request Form

LAA Work Plan Timeline

Patient Care Report Instructions

Patient Care Report

Patient Care Report Log Instructions

Patient Care Report Log