Event
Client / organization
Client contact
Event name
Venue / address
Date
Coverage hours
Est. attendance
Weather / heat index
Coverage Provided
Service Personnel Hours on duty Post / assignment Medical (certified medics) Security guards Law enforcement officers
Medical Summary
Type of contact Count Minor injury (cuts, scrapes, blisters) Sprain, strain or fall Heat-related illness Allergic reaction / insect sting Medical illness (dizziness, etc.) Alcohol / substance related Other Total patient contacts
Outcome Count Treated and returned to event Released, advised to follow up Transported by EMS Refused care or transport
Security & Law Enforcement
Activity Count Incidents reported / responded to Disturbances / fights Removals / ejections Theft or property damage Lost child / lost person reunited Traffic / parking issues Arrests or citations by officers Other
Agency of officers on duty
Notable Incidents (no names or health details)
Time Type Location Action taken Outcome
Recommendations for Future Events
Privacy: This summary has no information that identifies any patient. Patient care records are kept confidential by Castle Branch First Response. They are released only with the patient's written permission or when required by law. Copies of police reports must be requested from the officers' agency.
Prepared by (CBFR)
Title
Signature
Received by (client)
Title
Date
Castle Branch First Response LLC · 11811 East Frwy, Suite #550, Houston, TX 77029
Office (832) 907-1484 · castle-branch.com
