Event Quotation - Bluestone Medical

MEDICAL COVER QUOTATIONS & BOOKINGS

Bluestone Medical are here to provide support with your event

If you would like a quote for our team to attend your event, then please request a quote using the online form below.
We offer a quality service at sensible and responsible rates, scalable to fit the budget of every event organiser.

Should you prefer a PDF version of the form, this can be downloaded by clicking the button below.

Our quotation process explained:

On the submission of your form, our event operations and logistics team will review the details you have provided, risk and resource assess your event and will return a quotation based on their suggested safe level of cover. This level of cover is comprised from industry standard guidance, such as the Purple Guide, event histories, as well as years of relevant knowledge and experience. You then have the option to accept this quotation, decline it or contact is to discuss any variations to the suggested cover.

Being a professional and responsible ambulance service, patient safety is our top priority. We will not accept or confirm a booking until both parties have agreed upon a safe level of cover. Further details can be found in our quotation terms and conditions.

To get an accurate quotation, it is important the details on this form are correct.
If you have any questions whilst completing this form, please contact us on 01747 859205 or email operations@bluestonemedical.co.uk
* please allow 1-2 working days for a quotation to be returned *

EVENT DETAILS

Event Name *

In a few words, please describe your event and what activities will take place *

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Is your event for Charity? *

Charity Name & Number

How many people will be attending the event? *

You should include staff and contractors.

Attendance Profile *

This is important for our risk assessments. Please select all which apply.

EVENT LOCATION DETAILS

Event Dates and Times - Start *

Time

Event Dates and Times - Finish *

Time

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Full Site Address / Event Start Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

What3Words Location *

Event Finish Address (if different)

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Venue Type *

BOOKING CONTACT DETAILS

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Your Name *

Your Phone Number *

What is your role in relation to the event? *

Your Email Address *

Your Residential Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

EVENT POINT OF CONTACT

This is who we report to and liaise with during the event. This person MUST be present on the event site and ideally will be a part of the organising team and have the power to make decisions.

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Contact Name *

Phone Number *

Event Role / Location *

Radio Call Sign

If applicable

INVOICING INFORMATION

These are the details we will use when we invoice you if you accept our quotation. If you require us to invoice a company, please include their company registration number. Payment terms are clearly displayed on our invoice. Late payment may risk the cancellation of your cover. Further information is available in our booking terms and conditions supplied with your quote.

Invoice To *

Invoice Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Your Order / PO Number

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Contact Name *

Telephone *

Email Address *

Company Registration Number

MEDICAL COVER REQUIREMENTS

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Cover Date(s) *

Start Times *

Finish Times *

Cover Date Two

Start Time Two

Finish Time Two

Cover Date Three

Start Time Three

Finish Time Three

Cover Date Four

Start Time Four

Finish Time Four

Skills *

Quotes will be based on our suggestion of a safe level of cover. If you know you specifically need one of these skills, please select the correct option. If you are unsure, please select 'Unsure'.

Resources *

If you are unable to provide a designated treatment area, we suggest requesting an ambulance to be used for this purpose.

Fixtures

Fixtures might not always be required, but you must select either a fixture we provide, a fixture you provide, or an ambulance to be used as a designated treatment area.

Any Additional Requirements *

Please detail any additional or specialist requirements, such as welfare services etc.

Medical Staff Welfare *

Is there a staff rest area or any free drinks or food provided. (If food or drink vouchers are available, where do we collect these?) For some events, we may require a certain level of welfare to be provided. We will contact you to discuss this.

EVENT HISTORY & SPECIFIC RISKS

Who was your previous medical provider? *

What cover arrangements did they provide? *

Looking at your event history, please give us details of any serious injuries or deaths? *

Looking at your event history, what are your Casualty Rates? *

Does your Risk Assessment highlight any specific High Risk areas or Activities we should be aware of? *

For example, live roads, race tracks, animals, fire displays, axe throwing, chainsaws, fireworks, obstacle courses, firearms or archery.

If your event is sanctioned by a Governing Body, do they impose certain requirements for your medical provision? If yes, please give details *

e.g. BHA for some equine events, BARR or UKA for Road Running Races.

Additional Information

Please use this space to tell us any additional information about your event, that you think we might need to know. The more we understand about an event, the better service we can provide.