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We appreciate your interest in our event coverage services including sports medicine and emergency medical care. To request our services for your event, please fill out the form below. We’ll contact you within 5 business days to let you know if your request has been approved.

Questions? Please call 704-667-2540.

Request form

Before you fill out the form below, please note:
• You must submit your request at least 14 days in advance of the event.
• You must request event coverage for at least 4 hours.
Event Information
Billing Information
Medical Coverage Information
Comments or questions

Once you submit this form, it will serve as a contract for services with your organization.

If an event is cancelled without notice, a non-cancellation fee will be charged.