Physicians Insurance, A Mutual Company
The premier provider of medical professional liability insurance for physicians,
other medical professionals, clinics, and hospitals in Washington, Oregon, and Idaho.
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Physicians & Surgeons Professional Liability
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Employment Practices Liability
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Life, Disability & Long-Term Care
Billing Errors & Omissions
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Medical, Dental & Vision

Professional Liability
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Physicians and Surgeons Professional Liability

(* indicates a required field)

Name: *
Address: *
Preferred contact phone number: *
Fax:  
E-Mail:  


Principal medical specialty or subspecialty in which you practice: *
Clinic name: *
Office practice location: *
Street address: *
City: *
State: *
Zip code: *


Desired effective date: *
Desired retroactive date
(if applicable):		  


Your practice is: *  Full-time
 12 hours or less
 13-22 hours
 23-33 hours


Desired limits of liability: *  $1,000,000/5,000,000
 $2,000,000/6,000,000
 $3,000,000/7,000,000
 $4,000,000/8,000,000
 $5,000,000/9,000,000


How many paramedical employees do you employ?
PA  
ARNP  
CNM  
CRNA  


Do you perform surgical procedures? *  Yes
 No




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