Parry Sound District Paramedic Service

Event Medical Coverage Request

Request dedicated ambulance standby or event medical coverage from Parry Sound District Paramedic Service.

This form is for events requesting an ambulance and paramedic crew to remain on site during the event and respond to medical concerns that occur at the event.

Fees may apply. Submitting this request does not confirm coverage.

Emergency Reminder

This form is not for emergencies.

If someone is having a medical emergency, call 911 immediately.

Before You Submit

Event medical coverage is for events where a dedicated ambulance and paramedic crew are requested to remain on site. These requests are reviewed separately from community visits, school visits, ambulance tours, and Siren the Wolf appearances.

Submitting this request does not guarantee ambulance coverage. Coverage depends on approval, staffing, availability, operational needs, and event details.

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Event Medical Coverage Request Form

Contact Information

Organization / Event Organizer Name

Primary Contact Person

Contact Person Role / Title

Phone Number

Billing Contact, if different

Billing Email, if different

Event Information

Event Name

Event Date (YYYY-MM-DD)

Event Start Time

Event End Time

Event Location / Address

Is the event indoors or outdoors?

Estimated Number of Attendees

Estimated Number of Participants, if different

Is the event open to the public?

Will alcohol be served?

Will there be food vendors?

Is there an admission fee or paid entry?

Event Risk / Activity Details

Type of Event

Describe the event activities

Are there higher-risk activities involved? For example: motorsports, contact sports, water activities, fireworks, extreme heat or cold exposure, large crowds, remote location, or limited access.

Is there already a first aid provider or medical team on site?

Is there an existing event safety or emergency plan?

Where would the ambulance stage?

Is there clear access for ambulance entry and exit?

Who will be the on-site contact during the event?

On-site Contact Phone Number

Coverage Request

What type of coverage are you requesting?

Requested Coverage Start Time

Requested Coverage End Time

Any specific event risks, concerns, or details we should know?

Acknowledgement

I understand this is a request and is not confirmed until reviewed.

I understand fees may apply for dedicated ambulance standby or event medical coverage.

I understand submitting this form does not guarantee ambulance coverage.

I understand coverage depends on availability, staffing, operational requirements, and approval.

I understand emergency response needs may affect availability.

I understand this form is not for emergencies and 911 should be called for emergencies.