CALM Plan

Contact, Assist, Lift & Medical

                                                                                                                                             

 

Keep this card with you at all times                                                Vol/Project Sup Review:  Date __   ___  Initials _____

 

Name                                                                                                                                       Birth date                                                           

 

Passport number                                                                                                                   Expiration date                                                

 

 

STEP 1. Contact your project  staff first in the event of an emergency:

 

Staff HQ Address                                                                                                                                                    Tel.                                       

 

                                                                                                                                                                                                                                               

 

STEP 2. Host Community Emergency Contact/s                                                                                               Tel.                                       

 

Address                                                                                                                                                                                                                                

 

                                                                                                                                                                                                                                               

 

STEP 3. Community or Local Health Facility                                                                                                   Tel.                                       

 

Address                                                                                                             Contact  Person                                                                   

 

 

STEP 4. Regional Health Facility                                                                                                                       Tel.                                       

 

Address                                                                                                                  Contact Person                                                                   

 

 

STEP 5. National Health Facility                                                                                                                        Tel.                                       

 

Address                                                                                                                  Contact Person                                                                   

 

 

STEP 6. Partnering Agency                                                                                                                        Tel.                                       

 

Address                                                                                                              Contact Person                                                                   

 

 

STEP 7. Other In-Country Emergency Contacts                                                                                                                                       

 

                                                                                                                                                                                                                                               

 

STEP 8. AMIGOS International Office 5618 Star Lane Houston Texas 77057 (713) 782-5290, (713)782-3094

 

 

STEP 9. Embassy/Consulate Address                                                                                                           Tel.                                       

 

Contact Person                                                                                                                                                    

 

Allergies/Medical conditions in English                                                                                                                                                        

 

                                                in Spanish/Port.