Malpractice Insurance for Ambulatory Surgical Centers
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Complete the application and send to us:
Email: facilities@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