Event medical coverage

Event Medical Coverage Request

For events requesting dedicated ambulance standby or a paramedic crew to remain on site for event medical coverage. Fees may apply. Submitting a request does not confirm coverage.

Before You Submit

Submitting this request does not guarantee ambulance coverage. Coverage depends on approval, staffing, availability, operational needs, and event details.

Event Medical Coverage Request Form

Contact Information

Organization / Event Organizer Name Primary Contact Person Contact Person Role / Title Email Phone Number Billing Contact, if different Billing Email, if different

Event Information

Event Name Event Date Event Start Time Event End Time Event Location / Address Is the event indoors or outdoors? Estimated Number of Attendees Estimated Number of Participants, if different Is the event open to the public? Will alcohol be served? Will there be food vendors? Is there an admission fee or paid entry?

Event Risk / Activity Details

Type of Event Describe the event activities Are there higher-risk activities involved? Is there already a first aid provider or medical team on site? Is there an existing event safety or emergency plan? Where would the ambulance stage? Is there clear access for ambulance entry and exit? Who will be the on-site contact during the event? On-site Contact Phone Number

Coverage Request

What type of coverage are you requesting? Requested Coverage Start Time Requested Coverage End Time Any specific event risks, concerns, or details we should know?