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Physicians: Get a free quote via our Physician Questionnaire.

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Surgery and Ambulatory Care Centers

Quality Malpractice Insurance For Less

Quality "A" rated Medical Malpractice Insurance companies are competing for your business. Why pay more than you have to? We do the shopping for you and it pays to shop.

Occurrence and Claims Made Coverages are Available With Highly-Rated Companies

Contemporary Insurance Services provides coverage in all states and serves the Professional Liability Insurance needs of thousands of physicians, surgery centers, and health care providers. See how our 30 years of experience and quality staff of professionals can save you money on "A" rated Medical Malpractice Insurance products.

Get A Free Premium Projection - Put Our Staff Of Professionals To Work For You

Complete the form below for quick free premium projections. Don't wait. Start saving money now. You do not need to purchase "tail" insurance to switch companies. All of our companies provide retroactive coverage over previous companies. Our companies offer:

• Occurrence and claims made policies
• Claims made policies that convert over time to occurrence
• Medical Director coverages
• Coverage for employed physicians and allied practitioners
• The right to refuse settlement of a claim

Surgery and Ambulatory Care Center Malpractice Insurance Proposal Questionnaire

Please answer all questions completely to assure that we can deliver a reliable premium indication. Our goal is to mail a malpractice insurance proposal within 10 days. View our privacy policy.

Contact Information

Surgery Center/Ambulatory Care Center Name:
Contact Person First Name:
Last Name:
Title:
Address:
City:
State:	-- Select -- AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
Zip Code:
Telephone:
Email:

Malpractice Insurance Information

Annual Procedures:	The number of procedures per year is:
Current Insurance Company:	-- Select -- Ace Admiral Lexington Arch AWAC/Darwin Beazley CAN Catlin Colony Evanston GenStar Hudson James River One Beacon Rockbridge Nautilus Zurich Other (please specify)
Policy Renewal Date:	(mm/dd/yyyy)
Policy Type:	-- Select -- Claims Made Occurrance Not Sure
Retroactive Date:	(mm/dd/yyyy)
Physician Coverage:	Is coverage required for physicians? Yes No
	How many?
	Are there physicians who work at the center with their own coverage? Yes No
Patient Stay:	Do any patients stay overnight? Yes No
Procedure(s): (Select all that apply. Hold down the Ctrl key while left-clicking with your mouse to select multiple procedures)	Abortions Bariatric Surgery ENT Gastroenterology General Surgery Gynecology Opthamology Orthopedic Surgery Pain Management Plastic Surgery Podiatry Sleep Urology Other (please specify)

Submit

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