Mercy EMS Special Services Request 

***Any scheduled or advertised event open to the public and likely to attract 5,000 or more people at any one time in a single day REQUIRES dedicated medical personnel based on total number of attendees.  Refer to NYSDOH Sanitary Code Part 18 for specific details.***  

To request Mercy EMS for your special event, please fill out the form below.  

Fields marked with an * are required.

( Use Ctrl Key To Select Multiple )
Security Code...
Security Captcha
Type Code Above Into This Box