Booking/Quote Request Form

If your event is scheduled within the next 7 days, please also email us directly at events@assistfirstaid.com.au to check we have the staffing resources available and can process your request quickly.

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Company/Organisation to be billed

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If you require event medical coverage within 48 hours please contact our office on 07 5444 4171

Medic arrival time - Minimum 3 hour booking requirement

Provide contactable number on event day

Please note there is an additional charge for these items

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Field number/location, estimated number of participants, if you require more than one medic, etc.

Maps, Site Information, Purchase Orders, etc.

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