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Event Medical
Quotation Request

Contact Details

Organisation / Company

Contact Name

Phone Number

Email Address

State

Event Details

Name of Event

Type of Event (describe in a few words)

Location of Event (e.g., venue name)

Address of Event

Date of events (list multiple days if relevant)

Time of event

Estimated number of Patrons / Spectators / Attendees

Estimated number of Competitors

What facilities will you have for first aid to work from ?

How many Acute Health staff are your requesting ?

Is there Electricty available at your event

Is there access to running water

Event History

How many times as this run before (in years)?

Thinking of your last event, how many people were sick or injred at your event ?

Did any of these get transported to Hospital in an an emergency ambulance? if so what for ?

What were the nature of the injuries / illnesses at your last event ?

Event Risk Assessment / Event Management Plan is produced and can be supplied on requestdddddEvent Risk Assessment / Event Management Plan is produced and can be supplied on request

In the past, have there been any significant incidents or anything we should know about your event ?

Risk Factors

Tick any of the following that are at your event ?

Alcohol (provided / for sale)

Drugs (history of drug affected patrons at your event)

Event over a large geograhical area

Remote location - distance from medical care

Difficult terrain or access for getting to/from patients

Equestrian activities including horse racing

High speed motorsports

Queing / Standing at the event for longer than 1 hour

Unfit / amature competitors that present rirsk

Other risk - list here

Further Details

Is there any further details you wish to tell us about your event

When do you need your quotation by ?

Message

CONTACT ACUTE HEALTH NOW

Tweets by @acutehealth

All Posted Correspondence

National Head Office
PO Box 532 Flemington VIC 3031

State Offices

Victoria • Flemington
New South Wales • Parramatta
Queensland • Eagle Farm
ACT • Kingston

Contact Acute

Name

Phone