Thank you for your interest in our event medical services!

Please complete this form to the best of your ability. It should take no longer than 10-15 minutes. This form consists of 2 sections: contact information and event information. If you prefer to receive a paper copy or phone call to go over details, please reach out to us at inquiries@brickbybrickmedical.org.

A service quote will be generated following submission. The quote generated will reflect our experience working in the medical and prehospital fields as well as the industry standards for medical services and safety protocols. If necessary, further discussion may be held prior to drafting official documents and finalizing your medical services.