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:

2022 Season Forms

LDH Surge Response Documents

Surge Ambulance Placarding

Surge ambulances provide additional coverage in emergency response to natural and man-made disasters. The Bureau of EMS works closely with the Louisiana Emergency Response Network (LERN), the Louisiana Ambulance Alliance (LAA), and other state stakeholders to coordinate this response.

CLICK HERE for Surge Ambulance Policy and Procedures

CLICK HERE for Surge Unit Registration Form 

CLICK HERE for the Radio Plan 

CLICK HERE for the Surge Unit Demobilization Form 

CLICK HERE for the Crew Change Form 

CLICK HERE for Service Vehicle Placard Request

 

LRAA Surge Response Documents

  1. Introduction

  2. Deployment Guide

  3. Emergency Response Documentation Forms Listing

  4. Daily Activity Log Instructions

  5. Daily Activity Log

  6. Patient Care Report Instructions

  7. Patient Care Report

  8. Patient Care Report Log Instructions

  9. Patient Care Report Log 

  10. LRAA Radio Fleet Map

  11. ALS / BLS EMS Unit Hour Log

Emergency Response