Medical Professional Insurance

MedAssure, is a unique insurance program designed specifically for medical professionals like you. Although the operations in a medical clinic are similar, the insurance coverage required can vary greatly from clinic to clinic and from doctor to doctor. As a result, we tailor the best insurance coverage to meet ALL of your insurance needs (commercial, personal, life and living benefits).

All fields with an asterisk (*) are required.

Doctor's Full Name

Name of Medical Practice

Doctor's Home Address

City

Province or Territory

Postal Code

I am Interested in:

Website

Years Practicing Medicine

Date of Birth DD/MM/YY

Phone

Personal Email Address

Business Email Address

Practice Address

City

Province or Territory

Postal Code

Number of Physicians Working in the Clinic

Value of All Equipment in Your Office

Total Annual Gross Revenue (amounts paid to clinic and directly to doctor MPC’s)

Value of Your Leasehold Improvement

Number of Operatories

Square Footage Occupied by the Clinic? (SQFT)

Monitored Alarm

Any Claims?

Do You Own Your Own Building?

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