Specializing in Medical Supplies for Boats
Customized Cost-Effective Solutions for Maritime Safety Since 1980

For Recreational Vessels
Commercial Vessels Click Here

Please answer the questions below and click the submit button to e-mail your completed questionnaire to us.
We will contact you with a quote for your customized medical kit.

Captain / Owner

Name:
Street Address:
Company:
City, State, Zip:
,
E-mail:
Phone
(work / home):


Vessel

Size:
Primary Use:
If Other:
Type:
If Other:
Engine Type:
If Other:


Additional Information

On an average boat outing, how far are you from assistance?
What are the average sea and weather conditions in which you will be operating?
What is your operating area?
Who is your family physician? (Name, address, telephone)
What is the typical water temperature?
°
Specific size allocated for medical kit?
What is the typical air temperature?
°
Do you have a transmitter/receiver on board?

No Yes - What type?:

On average, how many people are on your vessel?
Do you have any medical experience?
No Yes - What type?:
Do you or your crew have any chronic illnesses, or are you on any special medications?
When will you be needing your kit?*
 
Please send us your comments and questions.
* Emergency Medical Kits featuring prescription medication
require 10 working days for preparation.