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