Contact Us

For more information or to apply for our services, please fill out the application below.

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Organization: ^*

Website:

Contact person: ^*

Email:

Phone number: ^*

Brief program description:

Program location:

Program duration:

Number of participants:

Age range of participants:

Number of instructors/guides:

Which of the following services are you seeking?:

Participant Medical Record Review & Screening

Instructor Evaluation & Training Recommendations

Offline Medical Direction & Protocols

Online Medical Direction & Telemedicine

Medical & Survival Kit Customization

Medication Prescriptions & Equipment Ordering

Expedition Medical Coverage

Post-Expedition Analysis

Other (describe below)

How can Wilderness & Medical Expedition Services help your organization succeed?:

Do you have any specific questions you would like us to answer?:

Surgery