Walworth Ambulance Inc.

 

Home / News

Walworth Ambulance Inc.

Patient Feedback Form

Online Bill Payment

Ambulance Privacy Notice

EMS eSchedule Link

Meeting Schedule

Advanced Life Support

Ambulance Vehicles

Ambulance Documents

Ambulance Forms

Ambit Energy Donations

Support Us

Join Us

Ambulance Application

Contact Us

Ambulance Standby Request

Ambulance Standby Requests

If your company or organization needs an ambulance to standby for a special event or gathering in Walworth, please complete the form below and hit "SEND". The request will be sent directly to our Director of Operations.  He will review the request and contact you with any questions.

We will do our best to secure a crew and an ambulance for your event, but we are not always able to provide standby service.  If we are unsuccessful, we will let you know prior to the start of your event so you may contact a commercial ambulance service.  Walworth Ambulance Inc. does not currently charge for standbys, but as always, donations are appreciated for our volunteer service.


Organization
Contact Person
Daytime Phone() -
Evening Phone() -
E-mail Address
Standby Location
Date(s)/Times Requested
Special Instructions

Incorporated in 2008.