Enquiry Form

Medical Indemnity Insurance Application Form

We offer medical indemnity insurance for Australian Registered Medical Practitioners. As a broker we have access to Avant, Miga, Berkshire Hathaway (distributed by Tego) and other insurers. We deliver competitive pricing and market leading cover. You will always receive responsive, professional and expert medico-legal advice and claims support so you can continue to focus on providing quality patient care. Please complete the form to request a none binding, obligation free quick quotation estimate
Email*
example@example.com
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Get a quick price indication

Please provide some brief information below to obtain a pricing indication
Title:
Dr, Professor..
Name*

First NameLast Name
Date of Birth*

DayMonthYear
Date
Gender:*

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Postcode of practice*
State where you practice
Annual estimated private gross billings

Medical Indemnity Insurance Application Form