Request for first aid coverage:







Event Details:












Risk assessment undertaken

 Yes No

Security present

 Yes No

Event Medics required:

  • Staff
  • Number
  • Medic
  • Nurse
  • Paramedic
  • Doctor

Are the following available on site for our staff:

parking

 Yes No

First Aid Room

 Yes No

First Aid Tent

 Yes No

Tables and chairs

 Yes No

Running water

 Yes No

Bottled water

 Yes No

Power

 Yes No

Ice

 Yes No

Site Details:

Site contact phone/mobile number

*I have read and agree to MediFAST Event Coverage Terms & Condition

 Yes No

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