Individuals with disabilities face unique challenges during and after disasters and have been disproportionately impacted by recent events. And yet, there have been remarkable stories of survival among individuals with severe disabilities who have prepared themselves well for such situations. Our panel will discuss how we, as physiatrists, can better prepare our patients and communities for disasters. We will address preparedness for both forecasted and unexpected events, escape and evacuation issues, as well as considerations for special patient groups, including those on intrathecal baclofen therapy. We will also review how to best prepare one's department or practice to provide care during and after disasters.