Medical Coverage Request Form

Essex Windsor EMS provides dedicated paramedic medical coverage for special events. Coverage is often dependant on the availability of staff and ambulances.

Fees may apply.

Please provide at least 4 weeks advance notice for your event.

If you would like to request medical coverage for your special event, please fill out this form and an Essex Windsor EMS representative will contact you within 72 hours.

Please note, if you would like to request a paramedic presentation at your school, business or other location, please use our "Paramedic Public Relations Request" form.

Event Information

Have we covered this event before?
Event Type:
Type of medical coverage required:

Fees charged for the above requests are in accordance with By-law #01-2017

Event Style:
Number of Participants:
This event is:

Billing Information

This information will be used for preparation of your quote and service agreement. You will not be billed until a quote and service agreement have been approved and signed.