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Public Health Mutual Aid Agreements (PDF)


The Cambridge Advanced Practice Center for Emergency Preparedness has developed materials to assist local health departments in creating public health mutual aid agreements. These materials have been used to develop and implement a public health mutual aid agreement in a 27-community region in Massachusetts. The materials include 5 PDF documents that can help local health departments begin the process of creating jurisdiction appropriate mutual aid agreements:

  1. Public Health Mutual Aid Agreement: A Template
  2. Explanation of a Public Health Mutual Aid Agreement
  3.  Scenarios for Use of a Public Health Mutual Aid Agreement
  4.  Frequently Asked Questions: Public Health Mutual Aid
  5. A Public Health Mutual Aid Agreement: White Paper

Format: PDF

Primary Toolkit:

APC Toolkit

Keyword Area:

Advanced Practice Centers, Mutual Aid


Institutional Author:

Cambridge Advanced Practice Center





Five most recent user comments

2.5 Stars of 5 - Somewhat Useful
Public Health Mutual Aid Agreements
By Suzi Silverstein

Simple explanation and template for someone who has never written a mutual aid agreement.  Should include a notation to check with jurisdiction administration regarding any specific requirements. 

2 Stars of 5 - Somewhat Useful
Mutual Aid
By Barbara Worgess
This is one example, but requirements are likely to vary substantially between jurisdictions.  Other examples should be sought out for review as well.

1.5 Stars of 5 - Not Useful
By Amanda Bogard
More examples are needed of mutual aid agreements. 

1 Stars of 5 - Not Useful
Public Health Mutual Aid Agreements
By Paula Anderson
This tool seems sparse and dated, but it might be valuable for LHDs that don't know how to start.


The NACCHO Toolbox is a repository of available resources to help local public health practitioners. Tools are produced by local, state, and federal agencies, as well as academic institutions and other stakeholders. The contents of this Toolbox are solely the responsibility of the authors and do not necessarily reflect any official recommendations of NACCHO. NACCHO makes no express or implied warranty with respect to the contents and disclaims liability for any damages arising from or connected to the use of the material in this Toolbox.