Code Blue Medics - Book a Set Medic

Book a Set Medic, Lifeguard, Nurse or Safety Pro Immediately with our Online Reservation Form

Your reservation will be submitted instantly to a live agent who will confirm your booking directly, today!

No Waiting... Over 50 On-Call Personnel Available 24-hrs / 7-days!

No Wondering... Last Minute Bookings, Weekends & Holidays!

No Hassel... Simply click & submit instead of making multiple calls!


CODE BLUE MEDICS Booking / Reservation Form
First Name
Last Name
Direct Phone
Email
Production Company
Company Address Line 1
Company Address Line 2
City
State / Province
Zip Code / Country Code
Company Phone
Company Fax
Safety Pro Type
Job Name / Number
Job PO Number
Billing for Job Invoice - Pay by Check Invoice - Pay by Credit Card Invoice - Pay by PayPal Invoice - Pay by Wire Transfer On Production Co. Payroll
Start Date
End Date
Number of Total Days
First Day Call Time Hours : Minutes
Booking Options Standard Hourly Rate (Guar 8 hrs) 6 hr Flat Rate 10 hr Flat Rate 12 hr Flat Rate 24 hrs / Split 12 hr shifts
Job Supervisor Name
Job Supervisor Direct Phone
Location / Venue Name
Location Street Address
Location Stage / Floor / Rm #
Location City
Location State / Province
Location Zip / Country Code
Location Directions / Parking
Any Special Filming Conditions / Work Environment?
Any Stunt Work / Pyrotechnics / SFX?
Any Children / Extras / Audience, how many?
Any Working Animals, Type / Size / Number?
Any additional Information / Requests?