BattlePro Online

Requesting Unit

Date & Time Initiated

1. Grid of pick up site

2. Frequency & Call Sign

3. # of patients by precedence

A. Urgent

Hospital within 90 minutes

B. Priority

Hospital within 4 hours

C. Routine

Hospital within 24 hours

4. Special requests for evac

A. None

B. Hoist/Winch

C. Extraction equipment

D. Ventilator

5. Numbr of patients

L. Litter (Stretcher)

A. Ambulated (walking)

E. Escorts

(E.G. for child of parent)

6. Security at HLS

N. No enemy

E. Enemy in area

P. Possible enemy

X. Armed escort required

7. HLS marking method

A. Panels

B. Pyro

C. Smoke

D. None

E. Other (Explain)

8. Patient #, nationality and status

A. Coalition Military

B. Civilian with Coalition Forces

C. Non-Coalition Security Forces

D. Non-Coalition Civilian

E. Opposing Forces/PW/Detainee

F. Child

9. Pickup Zone Terrain / Obstacles