Ambulatory Surgi-Centers

Click on the state you wish to receive an application for:
Currently Writing National Fire and Marine (non-admitted)  Currently Writing Medical Protective  Not Currently Writing in AK, HI, NY and WV
Please Note:  If you are experiencing difficulty opening the above applications, you may need to upgrade your browser to IE7 or higher, or Firefox 3 or higher. In addition, please be sure your pop-up blocker is disabled.

Complete the application and send to us:

Email: hcfacilities@medpro.com

Fax: 972.543.9240

Mail:
Medical Protective
Healthcare Facilities Team
5814 Reed Road
Fort Wayne, IN 46835

 
 

Submission
Requirements:

  • Current applications (MedPro Application required within 30 days of binding coverage)
  • Currently valued prior carrier loss runs (Minimum of 10 Years of Data)
  • Detailed narrative for open/closed claims >$50K
  • Current audited financial statement
  • Organizational chart
  • Schedule of physicians/advanced allieds requiring coverage
 

Contact us today!

We believe we can provide your facility with better coverage for a better value. Call 800-4MEDPRO or email hcfacilities@medpro.com.