Medical Standby

Paid Full Dedicated Medical Standby

This includes an ambulance and a full crew (EMT and Paramedic) stationed at a specific location. Cost for events is $240/hour with a four-hour minimum billed in 15 minute incriments.
Submitting a request via the form below is not considered confirmation that an ambulance will be available at your event. You must complete the contracting process with EMSA to be assured your request has been scheduled.
EMSA strongly recommends requesting your medical standby unit at least four weeks in advance of your event.
EMSA reserves the right to decline a request based on staffing, other reservations, and short notice.

To request an educational demonstration, please visit our educational demonstration page. Note: EMSA educational demonstrations cannot use their ambulance to transport patients.

If you have not heard from EMSA regarding your request within 10 business days of making the request, please contact specialevents@emsa.net.

Request a Medical Standby

Fill out the form below to request EMSA at your event.

Event Name*
Multiple Dates
- This event includes multiple dates.
Please list all dates.*
Date Time
Date*
MM slash DD slash YYYY
Start Time*

: Hours

Minutes

AM/PM
End Time*

: Hours

Minutes

AM/PM
Organization Name*
Day of Event Contact Name*
First Last
Phone*
Email*
Name of Venue*
Location within Venue
Venue Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Billing Contact Info
- Billing contact is the same as day of event contact.
Billing Contact Name*
First Last
Billing Phone*
Billing Email*
Billing Address*
Same as venue address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Billing Zip Code*
Estimated Attendance*
Estimated Age of Attendees*
Event Documents (map, schedule, or other relevant materials)
Drop files here or

Max. file size: 50 MB.
Additional Event Information (Optional)
CAPTCHA
By checking this box, you acknowledge:*
Event requests not received within 14 days advance notice may be unfulfilled due to system capacity.
By checking this box, you acknowledge:*
Event approval and fully executed contract with EMSA is required for confirmation.
By checking this box, you acknowledge:*
You will be invoiced within 30 days of the event. The Billing Contact listed above is responsible for payment.

Date	Time