Sarasota Memorial Health Care System - Emergency Forms SMH Staff

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Sarasota Memorial Emergency Hotline 917- 8799
SMHCS Command Center Main: 917-3800 Clinical Labor Pool: 917-7770 Non-Clinical Labor Pool: 917-2426
» SMHCS UPDATES ANDFLASH NEWS « All Staff - General Information » Pre-Team » A-Team » B-Team Physicians Emergency Preparedness » Medical Staff Office Updates SMHCS EMERGENCY FORMS AND POLICIES Internet Resources » SCGov Storm Center (local updates) » NOAA (National Hurricane Center) » FEMA (Disaster Hotline: 800-621-FEMA) Patients with special needs smhcs hurricane hardening Hurricane Facts Disaster Preparedness Guide for Elders

2008
Hurricane Season - Emergency Forms and Policies for SMHCS Staff

Updates & Information for SMHCS Staff: Pre-Team, A Team , B Team
Hurricane Facts	Patients With Special Needs Sarasota County: 861-5000

Emergency Forms

» Child Care Services Emergency or Hurricane Registration Form (.pdf)
Child Care Services Emergency or Hurricane Registration Form (.doc)

» Child Care Services Emergency Supplies Required Per Child (.pdf)
Child Care Services Emergency Supplies Required Per Child (.doc)

» Departmental Hurricane Team - PSN Pre-Hurricane Team (.pdf)
Departmental Hurricane Team - PSN Pre-Hurricane Team (.doc)

» Departmental Hurricane Team - Form A (.pdf)
Departmental Hurricane Team - Form A (.doc)

» Departmental Hurricane Team - Form B (.pdf)
Departmental Hurricane Team - Form B (.doc)

» Emergency Time Card (.pdf)
Emergency Time Card (.doc)

» Emergency Supply Daily Activity Usage Log - Form Q (.pdf)
Emergency Supply Daily Activity Usage Log - Form Q (.doc)

» Equipment Usage Daily Activity Log - Form R (.pdf)
Equipment Usage Daily Activity Log - Form R (.doc)

» Facility Damage Daily Activity Log - Form S (.pdf)
Facility Damage Daily Activity Log - Form S (.doc)

» Pet Shelter Agreement (for SMHCS Staff ) (.pdf)
Pet Shelter Agreement (for SMHCS Staff) (.doc)

Emergency Policies

» Hurricane Response Plan - 00.SAF.48
» Employee Compensation During Declared Emergency Conditions - 00.PER.07
» Emergency Cost Accounting and Recovery - 00.FIN.04

Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request,
do not send electronic mail to this entity. Instead, contact Sarasota Memorial Health Care System Public Relations Offices by phone or in writing:
1700 South Tamiami Trail, Sarasota, Florida 34239 | 941-917-9000 or 800-764-8255.
CONSUMER DATA: Agency for Health Care Administration | Centers for Medicare / Medicaid Services | Joint Commission Public Notice 2006 | PRIVACY
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