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Event Request Form

/Event Request Form
Event Request Form2018-07-18T08:18:56+00:00

Request for LifeNet at a Community Event

We attempt to honor every request for LifeNet to be present at community events, but unfortunately, due to high medical call volume, we are sometimes unable to do so.

Request Form

Your Name

Your Email

Your Phone Number

Event Name

Event Date(s)

Event Time

Where is your event being held?
Address:

City:

State:

Type of Event:
Select all that apply.
For Profit EventNon-Profit EventFundraiser

What are your requesting?
To select more than one item, hold the CTRL key as you click.

Description of Event:

What can you request?

A dedicated ambulance requires a signed contract and ensures you will have a crew available for your event.  There is a per hour cost for most dedicated ambulance requests, which includes an ALS Ambulance staffed with a paramedic and an EMT at your event.  Dedicated ambulances are most often used for sporting events, rodeos, and other events where insurance requires you to have an ambulance on standby throughout the duration of your event.

Non-dedicated ambulances are most frequently requested for free community events, fundraisers for non-profits, and for ambulance tours at schools, daycares, fall festivals, and more.  LifeNet does not charge for a non-dedicated ambulances because we post one of our on-duty ambulances at your event, but we cannot guarantee an ambulance will be at your event, even if we commit to coming.  Availability of ambulances for non-dedicated events depends entirely on system demand on the day of your event.  Our number one job is to provide quick medical response throughout our community.

LifeNet Air is one of the most popular requests for large events.  We enjoy teaching the community about our unique air medical program.  Like our non-dedicated ambulances, the helicopter may not be available on the day of your event, even if we commit to coming because patient transport always comes first.  Additionally, weather may prevent us from flying on the day of your event.  But we will try our very best to get our medical helicopter to your event if we commit to coming.

LifeNet’s AED Loaner Program allows area nonprofits the opportunity to check-out a loaner AED for business and community events at no cost. The borrower will, however, need to view a short tutorial video on how to safely operate the equipment and spend practice time with a LifeNet educator.  Additionally, a $250 deposit is required.  The deposit will be refunded when the AED is returned.  (Learn more)

Calling 9-1-1 can be confusing.  That’s why we offer a free 9-1-1 education classes around when to call 9-1-1 during a medical emergency and what you should have available.  This class includes information on Smart911 and Vials of Life.  The class can be tailored to any age group.

The American Heart Association now teaches that compression only CPR is the best response if you see someone go into cardiac arrest.  You should call 911 and push hard and fast in the center of the chest to the beat of any tune that is 100 to 120 beats per minute. Immediate CPR can double or even triple a person’s chance of survival.  This free class does not certify you in CPR, but it does provide you with the knowledge you need to help save a life.

LifeNet provides landing zone classes to first responders, fire, and EMS agencies with the goal of maximizing safety in scene operations. In addition to providing an instructor, when available, we will send an available aircraft with the full crew to provide real life simulation training after the class portion is complete. The class is provided free of charge for the requesting agencies and involves both a classroom presentation and a hands-on component.  We require a minimum of 10 people in attendance in order to hold an LZ class.

LifeNet offers free public education to teach the general community the basics in applying first-aid methods to control blood loss until help arrives. “Stop the Bleed” is a national campaign intended encourage bystanders to become trained, equipped, and empowered to help in a bleeding emergency before professional help arrives. No matter how rapid the arrival of professional emergency responders, bystanders will always be first on the scene and best positioned to provide first care by using proper tourniquet techniques and wound packing.  A person who is bleeding can die from blood loss within five minutes; therefore, it is important to quickly stop the blood loss.  We require a minimum of 10 people in order to host a class.

LifeNet EMS Ambulance and Helicopter at Community Events

Things to Remember:

Dedicated Ambulance Cost
There is a cost associated with a dedicated ambulance, and a signed contract is required prior to the event.

To obtain a quote, call:
Hot Springs: 501-624-4206
Stillwater: 405-707-0007
Texarkana: 903-832-8531, ext. 1906

Non-Dedicated Ambulances
Not Guaranteed

A non-dedicated ambulance request means an ambulance will come based on system volume and overall community demand on the day of your event.  We cannot guarantee to make the event or stay for the duration of the event if demand for medical transport is high that day

LifeNet in the Community - Ambulance Helicopter at Events