Please complete this short survey to assist the SC Health Care Coalition (HCC) to identify a comprehensive list of Coalition members.
 
The SC HCC exists to develop, enhance, and promote healthcare surge capabilities through communication, planning, training coordination, and collaboration with Coalition partners.
 
By joining the SC HCC, you will receive pertinent information from the Coalition about meetings, training and exercise opportunities, and regional best practices, as well as lessons learned.  The information you provide will also serve as a tool to aid in the response to a real event.  This information will only be shared with authorized agencies for response purposes.

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* 1. Agency Name and Mailing Information

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* 2. Your Contact Information

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* 3. Are you able to receive text messages on the Cell Phone Number listed in Question #2 Above?

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* 4. Are you the Primary Point of Contact to the SC HCC for your Agency?

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* 5. If your mailing address is different than Question #1 above, please provide the following. 

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* 6. Is your Agency a New or Existing SC HCC Member

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* 7. If your Agency is an existing SC HCC Member, when did you join the HCC?

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* 8. Agency Member Type

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* 9. Does your Agency have access to an 800 MHz Radio?

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* 10. Does your Agency have access to WebEOC?

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* 11. Does your Agency have access to EMResource?

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* 12. Does your Agency have access to eICS?

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* 13. Have you completed the ICS-100: Introduction to the Incident Command System training?

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* 14. Have you completed the ICS-200: ICS for Single Resources and Initial Action Incidents training?

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* 15. Have you completed the IS-700: National Incident Management System, An Introduction training?

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* 16. Have you completed the IS-800: National Response Framework, An Introduction training?

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* 17. Have you completed the ICS-300: Intermediate ICS for Expanding Incidents training?

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* 18. Have you completed the ICS-400: Advanced ICS for Command and General Staff training?

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* 19. If there is a vacancy on the Executive Committee, would you like to be considered for the position?

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* 20. What Committee(s) would you be interested in belonging to?

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* 21. Do you have any recommendations for the SC HCC that would assist your agency?

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