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EVENT MEDICAL REQUEST FORM

Professional Medical Services for your event.

Request a Quote for your Event Medical Cover

Please fill out the below form to receive a quote for your event. There is no, obligation to book until you accept any provided quote.

Please complete the form with as much information as you have available at this stage of your event planning. 

Please Note: 

  1. All event bookings are subject to our Event Cover Terms & Conditions.
  2. All invoices are due within 14 days of invoice date.
  3. By accepting any quote provides, you are agreeing to these Terms & Conditions.
  4. Cancellation fees may apply after you accept our quote.
Event Medical Cover

Contact Information

Event Information

Event Timing & Details

Please enter the times you require medical cover from / to - not the times that the event is open to the public.

Event Risk Assessment

Please fill out the below risk assessment for your event. Where information is not currently known, please enter a best estimate. A detailed event risk assessment and plan will be developed before your event to ensure that all information is available.

Nature of Event

Previous Casualty / Patient Numbers

Venue Type

Audience Size & Profile

Additional Information

Event Plans / Risk Assessments / Maps / Notes

Please forward any event spans, risk assessments, site maps or other event note to events@ambulantgroup.com. This helps greatly with planning appropriate medical cover for your event.

GDPR / Data Protection

Please confirm below that you agree to Ambulant Healthcare Group Ltd. holding and processing your information in line with GDPR and our Data Protection Policy. Ambulant Healthcare Group Ltd. will never use your data without your express consent and only use your data for the purpose it was provided for. We will never share this data without explicit consent.

Trusted Care, Wherever You Need Us.

(c) 2026 Ambulant Healthcare Group Ltd.
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