To provide convenience to current and potential clients, this page contains applications for various professional liability insurance programs. A checklist precedes each application and includes instructions on additional items required for a complete application.
CALL YOUR PROFESSIONAL LIABILITY SOLUTIONS AGENT FOR PERSONAL ASSISTANCE.
MEDICAL SPA / AESTHETIC PRACTICE / ANTI-AGING CLINICS
Medical Spa / Aesthetic Insurance Program Indication Application – covers spa, staff and physician performing direct patient care. (For indication purposes only. Firm, bindable quotes are subject to a full completed application.)
For premium quotes, simply complete, sign, date and return application with a copy of your current CV:
Individual Physician Application – covers individual physician or surgeon
GROUP OF PHYSICIANS/SURGEONS
HEALTHCARE FACILITY (i.e. Surgery Centers, Laboratories, Dialysis Centers, Cancer Care Centers, Imaging Centers, etc.)
For premium quotes, complete the applicaiton via the link below:
Clinics (Entity) Application – covers the healthcare facility and can include coverage for staff members
ALLIED HEALTHCARE PROVIDERS (CRNA, PA, NP, RN, etc)
For premium quotes, complete, sign and date the application via the link below:
CRNA Application – covers the Nurse Anesthetist for procedures performed