Ambulance request form for [insert name of early years provider]

It is important that you are prepared for when you might need emergency services. When you require an ambulance dial 999, ask for ambulance and be ready with the following information. It is good practice to have as many of the details completed on the form and kept by the telephone. Other details will only become apparent on the day. It is important to speak clearly and slowly and be ready to repeat information is asked.

  1. Your contact telephone number

 

 

 

  1. Your location, including postcode

 

 

 

  1. Exact location within the setting

 

 

 

  1. Name of staff calling

 

 

 

  1. Name of child and brief description of their symptoms

 

 

 

  1. The entrance at which the ambulance will be met