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Templates for the Public Health Emergency Response Guide for State, Local, and Tribal Public Health Directors

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Template 1. Documentation of Contacts and Actions
Allows for the documentation of contacts and activities during the response to an incident.
195 KB/3 pages 155 KB/4 pages 47 KB/3 pages 161 KB/4 pages
Template 2. Health Department Personnel Emergency Contact Information
Allows for the listing of contact information for key personnel within your health department. It should be completed by the user prior to an incident.
163 KB/2 pages 103 KB/2 pages 39 KB/2 pages 123 KB/2 pages
Template 3. State, Local, and Tribal Emergency Contact Information
Allows for the listing of contact information for state, local, and tribal response partners within your community. It should be completed by the user prior to an incident.
158 KB/2 pages 102 KB/2 pages 39 KB/2 pages 123 KB/2 pages
Template 4. Leadership Assignments
Allows for the documentation of public health leadership assignments during the response to an incident.
219 KB/4 pages 171 KB/7 pages 84 KB/4 pages 197 KB/7 pages
Template 5. Incident-Specific Public Health Preparedness
Enables health departments to rank their level of preparedness to respond to specific types of incidents.
206 KB/4 pages 220 KB/9 pages 81 KB/4 pages 277 KB/9 pages

 

  • Page last updated January 13, 2006
  • Page last reviewed October 2, 2007
  • Content source: CDC Emergency Communication System (ECS), Division of Health Communication and Marketing (DHCM), National Center for Health Marketing (NCHM)
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