Request a quote

Request a quote

To give you the best possible quote, we need to fully understand your challenges and needs. We’ll work through a fact finding process with you so we can provide you with the right products and services at the right price.

Step 1
Contact Details

Step 2
Business and medical details

SELECT A PRODUCT
Contact Details
FIRST NAME(S)
SURNAME
EMAIL ADDRESS
CONTACT NUMBER

Business and medical details (optional)
Please provide as much information as possible. If you want to skip this step, simply click on ‘Submit’ at the bottom of the form and someone from our team will contact you.
Nature of Business
Total Number of Staff

1-50 51 -100 Over 100
Hours of operation per day

8 hours 24 hours
Are staff medically insured?

Yes No
Type of medical insurance

Workers compensation Medical aid
Risks identified in the business
Ambulance transportation requests

1-10 Over 10
Is there a clinic on site?

Yes No
additional information

Your quote summary

PRODUCT