Event Medical Cover Booking & Risk Assessment Request


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Please fill in the below form to receive a quote. This is provided on a no obligation basis and the terms and conditions of service (viewable by clicking this link) only become effective upon confirming and accepting the booking. Please note that our standard terms of business for payments / invoices are 14 days, a 20% charge will be added for late invoices / payments and by accepting cover, you are agreeing to these terms.

The fields marked as '*' are mandatory


Contact Information

Company Name *

Event Contact Name*

Email Address *

Contact Number *

Event Information

Address of Event *

City *

Postal Code *

Event Start Date & Time *

Event Finish Date & Time *

Additional Date Information

Risk Assessment : Event Nature

Event Type *

Classical Performance Public Exhibition Pop/Rock Concert
Country Show Dance Event Marine
Motorcycle Display Aviation Motor Sport
State Occasions VIP Visits/Summit Music Festival
New Year Celebrations Night Club Film / TV
Cycling/ Boxing / Sports Other



Venue Type *

Indoor Stadium Public Location in Streets
Sports Ground Outdoor in confined Location, Eg. Park Temporary Outdoor Structures
Overnight Camping Other Outdoor, Eg. Festival



Audience *

Full Mix, in Family Groups Full Mix, Not in Family Groups Predominantly Young Adults
Predominantly Children and Teenagers Predominantly Elderly Full mix, Rival Factions




Past History of Casualties *

Good data, low casualty rate previously (less than 1%)
Good data, medium casualty rate previously (1% - 2%)
Good data, high casualty rate previously (more than 2%)
First Event, No Data



Event Intelligence

Expected numbers*

< 1,000 <3,000
<5,000 <10,000
<20,000 <30,000
<40,000 <60,000
<80,000 <100,000
<200,000 <300,000



Expected Queuing*

Less Than 4 Hours More Than 4 Hours More Than 12 Hours



Additional Considerations

Time of Year (Outdoor Events) *

Summer Autumn
Winter Spring




Nearest A&E *

Less Than 30 Mins by Road More Than 30 Mins by Road



Profile of A & E *

Choice of A&E Small A&E Large A&E



Additional Hazards * .

Carnival Alcohol Helicopters
Motor Sport Parachute Display
Fireworks Stunts None



Returning A B Medical Services Customer *

Yes NO

Discount Code

Notes / Additional Information

Person authorising Booking *

Data Protection Agreement

Please click below to consent to A B Medical Services (UK) Ltd holding data about this form and /or inquiries made hereafter in line with the current Data Protection / GDPR legislation. We are registered as a data controller / processor with the UK ICO. A B Medical Services (UK) Ltd will never use your data without consent and will never share this data without explicit consent. Please refer to our full Data Protection policy.

Terms and Condtions


Tick this box to confirm that you have read and accept our standard terms and conditions of service. These will become active at the point of accepting cover in writing or by e-mail with the operations department. Please note that our standard terms of business for payments / invoices are 14 days, a 20% charge will be added for late invoices / payments and by accepting cover, you are agreeing to these terms.

The above box must be accepted to submit your request