HEF

In-Home Healthcare Resource Management

Agency Name(Required)

Evaluator Name(Required)

First Last

Evaluator Email(Required)

How many staff members did you have available to support the emergency response?(Required)

Please list the Typle and quantity of medical supplies you had available to support the emergency response.(Required)

Did someone from your agency, give a status update on the significant events board in the state-wide communications system, WebEOC?(Required)