Event Medical Cover Enquiry

This form collects the information required under the HSE Purple Guide to assess medical cover levels for your event.

Contact Details

Full Name *

Email *

Phone *

Event Information

Event Name

Event Type *

Event Date(s)

Event Duration

Indoor or Outdoor Event *

Purple Guide – Risk & Attendance

Expected Attendance *

Event Tier (Purple Guide)

Alcohol on Site?

High-Risk Activities?

Additional Medical / Safety Notes