Account Registration

Complete the below form to register for your CIS website account. Required fields are indicated with an asterisk (*) and are displayed as blue and bold. Upon completing and submitting the form, you will be emailed a temporary password that can be used to login to your account. Once logged in, you will be able to change your password.

Please Note: At this time, the Contemporary Insurance Services website offers online account features that are beneficial to Midwives. Physicians should use our Physician's free quote form and Surgery and Ambulatory Care Centers should use our Surgery and Ambulatory Care Centers free quote form instead.

Personal Information
Practice Information