Request an ambulance visit

Required fields are marked with asterisks (*)

Request an ambulance visit

Request an ambulance visit by submitting the form below. This form must be submitted 30 days in advance of the requested date. We will make every effort to accommodate an ambulance visit, but it will depend on service availability.

Primary contact

First name

Last name

Organization

Main phone

Mailing address

Street number

Street

City

Location of event

Street number

Street

City

Description of event

Date of event

Time of event

If additional dates and times are an option please specify

Personal information, as defined by the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA) is collected under the authority of the Municipal Act, 2001, and in accordance with the provisions of MFIPPA.

If you have any questions regarding the above program please contact Guelph Wellington Paramedic Service at GWPS_PR@guelph.ca.

If you have questions about this collection; use, and disclosure of this information, contact the City of Guelph’s Access, Privacy and Records Specialist at 519-822-1260 extension 2349 or privacy@guelph.ca