Date #1
Medical Arrival/Departure Time #1
Date #2
Medical Arrival/Departure Time #2
Organisation Name
Contact Name
Event Address
Email Address
Phone Number
Has a Formal Risk Assessment Been Carried Out
Filming Set Risks
Location/Venue
Please tell us what level of cover you require?
What do we need to provide?
What will be provided for medical staff
Please use the box below to tell us as much as you can about the event and include if you have any high risk activities such as moving aircraft, large vehicles, weapons on site etc
Other Comments
How did you heard about us? (If recommended please tell us who?)
Thank you for your request, we will be in contact with you soon
For large/specialist events our medical officer may need to attend the site before the event to carry out our own risk assessment.
