Request For Standby

Adair County Ambulance District is proud to be able to assist the citizens of Adair County during large capacity events where there is an increased probable need of onsite Healthcare. ACAD offers a level of coverage available for most large public events and they are listed and described below.

Dedicated Ambulance Coverage:

This level of event standby coverage includes one ambulance with two personnel on board. This level requires the staff and equipment to remain onsite of the event until the end, without interruption. Event coverage may be interrupted in the event an onsite patron needs transported to a medical facility. The cost of this level of event coverage is $75.00 per hour with a minimum of one hour. Travel time from the ambulance base, to and from the event is also considered standby time and subject to the same charge rate.

Non-dedicated Advanced Life Support Ambulance Coverage:

This level of event standby coverage includes one ambulance with two personnel on board. This level does not require the staff or equipment to remain onsite of the event. Event coverage will be interrupted in the event of an offsite ambulance need that cannot be maintained by other scheduled crews. There is no cost for this level of event coverage.

ACAD Base Tour with Presentation:

We welcome the opportunity to show our facilities and equipment to anyone that would like to come and tour our base. Please use the below form to reserve your time to come to our base for a tour of our facilities and ambulances.

Crew Presentation of Ambulance at your site:

We are always happy to take the opportunity to teach citizens and clubs about the current practices and equipment of the ACAD, and provide them the opportunity to see our ambulance. Please us the below form to request us to come and provide a presentation to your group.

Request for a Standby

Requestor Name *

Requestor Email

Requestor Phone Number *

Date of Standby Request *

Name of Event *

Location of Event *

Please enter as much information about the location of the event, including the exact address, as possible. Thank you.

Exact place at event ambulance and/or crew should setup *

Name of Person ambulance crew should make contact with upon arrival at event and appropriate way to contact *

If possible please provide cell phone number for the contact person that will be available that day at event.

Requested Time of Ambulance Arrival *

Please request the ambulance to arrive at least 15 minutes prior to the start of your event for proper time to setup prior to the beginning of the event.

Time Event Should End *

Please note this can be an estimated time, we will standby until the event ends or until we are released from the event. If the event is a charged event you will be charged per minute for the entire amount of time we were at the event.

Type of Standby Requested *

Dedicated Advanced Life Support Ambulance Coverage @ $75.00 per hour

Non-dedicated Advanced Life Support Ambulance Coverage

ACAD Base Tour with Presentation

Crew Presentation of Ambulance at your site

Parade

Please select all that apply

Billing Name