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Facility Name: GPS Latitude:
Agency Name: GPS Longitude:
Contact Name: EMS Status:
Email: Clinical Status:
Cell Phone: Facility Status:
Satellite Phone: Helicopter Landing Zone:
Address:
Notes:
CURRENT BED AVAILABILITY
Trauma/General Surgery: adult pediatrics
Orthopedic Surgery: adult pediatrics
Post Operative Recovery: critical (vents) non-critical
(i.e.IV Antibiotics, pain control)
CURRENT CAPABILITIES
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