Fill - Free fillable MedicalPlanforDuPontStateRecreationalForestCommercialUsers Formedicalemergenciesintheforestcall911.Stateyourname,yourlocationandthenatureofthe emergency.Cellphonecoverageislimitedintheforest.Grouplead PDF form

MedicalPlanforDuPontStateRecreationalForestCommercialUsers

CompanyorOrganizationName:___________________________________________________

Keypersoncontact:____________________________ Phone:______________

Formedicalemergenciesintheforestcall911.Stateyourname,yourlocationandthenatureofthe

emergency.Cellphonecoverageislimitedintheforest.Groupleadersshouldcheckcoveragetodetermine

locationsformakingemergencycalls. For

nonemergencyassistancecalltheforestofficeat877‐6527.

CommercialusersofDuPontStateRecreationalForest(DSRF)mustgiveadequateconsiderationtotheinherent

dangersofprovidingcommercialservicesinaremoteoutdoorenvironment.Hazardsinclude,butarenot

limitedto:stinginginsects,steepslopes,slipperyrocksurfaces,snake

bites,fallenlimbs,anddangersassociated

withsevereweatherevents.

Commercialusersmusthavetheabilitytoprovidefirstaidforvictims.Remotecarryoutsintheforestcantake

uptotwohoursandresultintransportbyairambula nce totraumacentersinGreenville,SCorAsheville,NC.

Completion

oftheinformationbelowwillsatisfytheMedicalPlanrequirementforTierIandTierIIcommercial

use.TierIIIcommercialusersmustcompleteanICS206‐CGbeforeapermitcanbeissued.

GroupLeadersLevelofMedicalCertification



_______________________________ _________________________________________________

AreaHospitals



GreenvilleMemorialHospital—Level1TraumaCenter

701GroveRoad,GreenvilleSC29605 (864)455‐7000



MissionHospital—Level2TraumaCenter

509BiltmoreAve,AshevilleNC28801 (828)213‐1111



TransylvaniaRegionalHospital

90HospitalDrive,BrevardNC28712 (828)883‐

5302



PardeeHospital

800N.JusticeStreet,HendersonvilleNC28791 (828)696‐1000



Submitthismedicalplanwithyourpermitapplicationandkeepacopyforyouruse. 

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