Request for first aid coverage:







    Event Details:












    Risk assessment undertaken

    YesNo

    Security present

    YesNo

    Event Medics required:

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

    Are the following available on site for our staff:

    parking

    YesNo

    First Aid Room

    YesNo

    First Aid Tent

    YesNo

    Tables and chairs

    YesNo

    Running water

    YesNo

    Bottled water

    YesNo

    Power

    YesNo

    Ice

    YesNo

    Site Details:

    Site contact phone/mobile number

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

    YesNo