Many coastal areas in Indonesia are spread widely and in various groups, which require special preparation and handling in times of disaster related to medical services. With the dean, appropriate adaptations are required for planning, preparation, implementation and post-disaster. This study investigates the medical service system in the form of hospital ships and hospital clinic in boats that are ready to operate in the state of preparation, implementation and post-disaster with the support of telemedicine. Thus, medical services can be used during normal and disaster situations. The study used the materials related to the arrangement of hospital ships and boat clinics that meet optimal standards that are ready for normal and disaster use. Medical equipment, medical support, drugs and operational procedures for both normal and disaster situations. Doctors and other officers in accordance with the required profession, with special training for disasters. The result shows an integrated information system and telemedicine system that uses voice recognition in times of disaster, supported by trained equipment and personnel. The method used is in the form of needs assessment and feasibility studies as well as making proposals for funding, thus trying to attract the participation of related parties, especially BAPPENAS, the Central Government, Regional Governments and BNPB. This study proposes suggestion with the support of a needs assessment and a feasibility study, which fulfills the readiness of facilities, doctors and other health workers who are ready for normal times and during disasters. Thus, it is ready to be discussed and ready to be worked on, because coastal conditions have begun to sink due to extreme climate change today. The recommendation is suggested to be discussed with relevant stakeholders will encourage awareness of the importance of Hospital Ship, Hospital Clinic and Telemedicine for Disaster Medicine Adaptation in Coastal Region, so that climate change that changes the current coastal area in terms of medical services can be prepared.