To request a Rate Sheet or book a medic, please complete the form below. Fields with * are required. We will reply to all booking requests within 12-24 hours.   If your request is within 24 hours please call (844) Set-Medic (844 738-6334) for immediate assistance.

Booking Request

LinkedIn

This field is for validation purposes and should be left unchanged.

Your Name(Required)

Production / Event name(Required)

Phone(Required)

Email(Required)

Location Address (if you have it)

Report to City(Required)

Report to State(Required)

Report to Zip

Estimated Date(s)(Required)

Estimated Call Time(Required)

Estimated Number of Hours(Required)

10 hour min12 hour min12+ hours

How did you hear of us?

Select OneReferralLA 411Production HubInternet Search

Billing Name and Address

Details / Message(Required)

 

We understand how sensitive your production details are.  You can feel safe reaching out to us.  Greater detail allows us to better serve you!

The National Set Medic Guarantee: The information you provide will remain confidential.  None of the information you provide will be shared with anyone outside our organization.