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 (2) Public Exhibition (3) Pop/Rock Concert (5)
Country Show (2) Dance Event (8) Marine (3)
Motorcycle Display (3) Aviation (3) Motor Sport (4)
State Occasions (2) VIP Visits/Summit (3) Music Festival (3)
New Year Celebrations(7) Night Club (3) Film / TV (1)
Cycling/ Boxing / Sports (2) Other



Venue Type *

Indoor (1) Stadium (2) Public Location in Streets (2)
Sports Ground (1) Outdoor in confined Location, Eg. Park (2) Temporary Outdoor Structures (4)
Overnight Camping (5) Other Outdoor, Eg. Festival (3)



Audience *

Full Mix, in Family Groups (2) Full Mix, Not in Family Groups (3) Predominantly Young Adults (3)
Predominantly Children and Teenagers (4) Predominantly Elderly (4) Full mix, Rival Factions (5)




Past History of Casualties *

Good data, low casualty rate previously (less than 1%) (-1)
Good data, medium casualty rate previously (1% - 2%) (1)
Good data, high casualty rate previously (more than 2%) (2)
First Event, No Data (3)



Event Intelligence

Expected numbers*

< 1,000 (1) <3,000 (2)
<5,000 (8) <10,000 (12)
<20,000 (15) <30,000 (20)
<40,000 (24) <60,000 (28)
<80,000 (34) <100,000 (42)
<200,000 (50) <300,000 (58)



Expected Queuing*

Less Than 4 Hours (1) More Than 4 Hours (2) More Than 12 Hours (3)



Additional Considerations

Time of Year (Outdoor Events) *

Summer (2) Autumn (1)
Winter (2) Spring (1)




Nearest A&E *

Less Than 30 Mins by Road (0) More Than 30 Mins by Road (2)



Profile of A & E *

Choice of A&E (1) Small A&E (3) Large A&E (2)



Additional Hazards * .

Carnival (1) Alcohol (1) Helicopters (1)
Motor Spor (1)t Parachute Display (1)
Fireworks (2) Stunts (2) 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