Mock Patient Participant Release & Indemnity Agreements

If Flight For Life will be putting a “mock patient” on the helicopter, we must first have a signed “Mock Patient Participant Release & Indemnity Agreement” from that person if they are of age, or from their parent or guardian if they are a minor.

Patient Participant Release & Indemnity Agreement For the Waukesha Base.

Waukesha North Mock Patient Demo

If you want us to load-only or load and transport a mock patient at your training event, this form must be completed in advance and sent to the Flight For Life Base you are scheduling with.

Examples of these training events are:

  • Mock Scene
  • Pre-Prom Mock Scene
  • Disaster Drill
  • Mass Casualty Drill

Mock Patient Participant Release & Indemnity Agreement for the McHenry Base. 

Waukesha North Mock Patient Demo

If you want us to load-only or load and transport a mock patient at your training event, this form must be completed in advance and sent to the Flight For Life Base you are scheduling with.

Examples of these training events are:

  • Mock Scene
  • Pre-Prom Mock Scene
  • Disaster Drill
  • Mass Casualty Drill

Mock Patient Participant Release & Indemnity Agreement for the Fond du Lac Base. 

Waukesha North Mock Patient Demo

If you want us to load-only or load and transport a mock patient at your training event, this form must be completed in advance and sent to the Flight For Life Base you are scheduling with.

Examples of these training events are:

  • Mock Scene
  • Pre-Prom Mock Scene
  • Disaster Drill
  • Mass Casualty Drill