Request Event Visit From LifeFlight | UnityPoint Health - Des Moines
LifeFlight helicopter

LifeFlight Event Visit Request Form

Before submitting this form, please make sure you know the landing zone GPS coordinates (latitude and longitude - i.e., 43 36 / 090 41). All requests are subject to management approval and aircraft availability on the day of the event.

Date of Event(4 Week Notice Preferred)Arrival TimeRequesting AgencyContact Cell PhoneContact E-MailContact and Phone Numberfor Day of the EventType of RequestGroup Making RequestExpected AttendanceAgency ProvidingLZ Security?Radio FrequencyTone Codes?DurationContact NameAlternate PhoneDetail (Explain)Other (explain)Location/AddressGPS CoordinatesLanding Zone Surface

Obstacles (check all that apply)Landing Zone Obstacle Details