Forms and Documents
CDC Documents
Doxycycline for Post-Exposure Prophylaxis of Anthrax (PDF - 192.0 KB)
Ciprofloxacin for Post-Exposure Prophylaxis of Anthrax (PDF - 183.9 KB)
How to Take Ciprofloxacin to Prevent Anthrax (PDF - 177.3 KB)
LTV-1200 Emergency Setup Card (PDF - 881.6 KB)
LTV-1200-1150 Operations Manual (PDF - 18.0 MB)
Phillips Trilogy EVO - Quick Start Guide (PDF - 4.6 MB)
IDPH Documents
Amoxicillin Dosing Brochure (PDF - 350.7 KB)
Ciprofloxacin Dosing Brochure (PDF - 453.8 KB)
Doxycycline Dosing Brochure (PDF - 535.3 KB)
Tamiflu Dosing Brochure (PDF - 356.1 KB)
HICS Forms
HICS-Incident Action Plan (IAP) Quick Start (DOCX - 76.9 KB)
HICS-201 Incident Briefing (DOCX - 125.7 KB)
HICS-201 Incident Briefing (PDF - 417.6 KB)
HICS-202-Incident-Objectives (PDF - 414.2 KB)
HICS-203-Organization-Assignment (PDF - 412.5 KB)
HICS-204-Branch-Assignment-List (PDF - 411.8 KB)
HICS-205-Incident-Communication-Log (PDF - 442.1 KB)
HICS-206-Staff-Medical-Plan (PDF - 411.4 KB)
HICS-207-Organizational-Chart (PDF - 418.2 KB)
HICS-213-Incident-Message-Form (PDF - 413.7 KB)
HICS-214-Operational-Log (PDF - 410.5 KB)
HICS-251-Facility-System-Status-Report (PDF - 441.7 KB)
HICS-252-Section-Personnel-Time-Sheets (PDF - 411.0 KB)
HICS-253-Volunteer-Staff-Registration (PDF - 410.7 KB)
HICS-254-Disaster-Victim-Patient-Tracking-Form (PDF - 411.1 KB)
HICS-255-Master-Patient-Evacuation-Tracking-Form (PDF - 407.2 KB)
HICS-256-Procurement-Summary-Report (PDF - 407.0 KB)
HICS-257-Resource-Accounting-Record (PDF - 24.8 KB)
HICS-258-Hospital-Resource-Directory (PDF - 446.6 KB)
HICS 259 Hospital Casualty-Fatality Report (PDF - 24.9 KB)
HICS-260-Patient-Evacuation-Tracking-Form (PDF - 412.0 KB)
HICS-261-Incident-Action-Plan-Safety-Analysis (PDF - 410.3 KB)
Job Action Sheets
Incident Commander - JAS (PDF - 300.8 KB)
Public Information Officer - JAS (PDF - 73.0 KB)
Safety Officer - JAS (PDF - 71.8 KB)
Liason Officer - JAS (PDF - 69.4 KB)
Finance & Administration Section Chief - JAS (PDF - 76.1 KB)
Logistics Section Chief - JAS (PDF - 75.6 KB)
Operations Section Chief - JAS (PDF - 80.1 KB)
Planning Section Chief - JAS (PDF - 76.6 KB)
Region 2 Org Chart and Regional JAS (DOCX - 84.7 KB)
1135 Waiver
Requesting an 1135 Waiver (PDF - 65.1 KB)
EMTALA Waiver Toolkit (PDF - 71.5 KB)
ASPR-HIPPA Emergency Fact Sheet
ASPR-HIPPA Emergency Fact Sheet (PDF - 161.5 KB)
Planning for At-Risk and Functional Access Needs
Requesting an 1135 Waiver (PDF - 65.1 KB)
Illinois Helps
CHEMPACK Overview Peoria Region 2018 (PDF - 821.3 KB)
SNS & CHEMPACK
Illinois-Iowa CHEMPACK Overview 2023 (PDF - 1.3 MB)
Illinois-Iowa CHEMPACK Overview 2020 (PDF - 1.3 MB)
Illinois-Iowa CHEMPACK Overview 2019 (PDF - 1.3 MB)