This document refers directly to MC 326/3 NATO Principles and Policies of Operational Medical Support@ in particular Chapter 5 Military Medical Responses to Disaster Relief and Consequence Management Situations. It should also be read in conjunction with AJP-4.10(B) Allied Joint Medical Support Doctrine@ AJMedP-1 Allied Joint Medical Planning Doctrine and MC 551 Medical Support Concept for NRF Operations. Additionally it specifies civil-military medical support principles in line with MC 411/1NATO Military Policy on Civil-Military Co-operation (CIMIC) and AJP-3.4.9 Allied Joint Doctrine for Civil-Military Cooperation. This publication replaces Allied Medical Publication-15 (AMedP-15) Military Medical Support in Humanitarian and Disaster Relief. However@ the scope of this document is wider in terms of all relevant relations and actions of NATO military medical support in support of the mission and in co-ordination with a broader spectrum of civilian actors3. Third parties can apply for medical support at NATO and support will be provided by NATO after North Atlantic Council (NAC) approval. NATO member states can also access civilian advice and expertise available within NATO through the Civil Emergency Planning Committee (CEPC) immediately. For partner nations there is also the need for NAC approval. The NATO commander??s decision@ based on his own intent@ higher direction and guidance and staff expertise from J9 and medical staff@ will deter- mine initiation@ scope and duration of civil-military medical support provided. Aim The aim of this document is to provide the framework for medical support at the civilmilitary interface. The delineation of responsibilities on the one hand@ but also the depiction of limitations on the other hand will set the basis for the definition of general principles@ the introduction into concerted medical planning and command and control as well as to provide civil-military medical guidance for training@ education and exercises. 3 For usage of the termcivilianactors please see Definitions and Explanations@ Para. 1.2.12.