Medical Indemnity

Step 1 of 6

Your Details

Name(Required)

First Last

Date of Birth(Required)

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 Postcode Country

What date do you require cover?

Academic & Employment Details

Country of qualification

Year of qualification

Post Graduation qualifications/training

Medical school of qualification

Employment details(Required)

What best describes your employment status?

Practice owner

Associate

Employed

Performer

Self-employed

Not currently employed

Contractor

Provider

How many hours per week do you work?

What % of your work is NHS?(Required)

What was your income or the turnover of the business for the previous year?

Gross income (before expenses) if self employed. Gross income (before tax and national insurance) if employed.

What would you anticipate your income or the business turnover to be for the upcoming 12 months?

Gross income (before expenses) if self employed. Gross income (before tax and national insurance) if employed.

What % of your work is Private?(Required)

What was your income or the turnover of the business for the previous year?

Gross income (before expenses) if self employed. Gross income (before tax and national insurance) if employed.

What would you anticipate your income or the business turnover to be for the upcoming 12 months?

Gross income (before expenses) if self employed. Gross income (before tax and national insurance) if employed.

Indemnity Requirements

What limit of indemnity do you require?(Required)

If you require retroactive cover please input the relevant date

Marketing Consent(Required)

Yes, I would like to receive email updates and marketing communications from All Med Pro.

No, I would not like to receive email updates and marketing communications from All Med Pro.

By ticking yes, you consent to receive email updates and other marketing communications from All Med Pro. We respect your privacy and will never share your information with third parties without your explicit consent. You can unsubscribe at any time by clicking the link provided in our emails. For more information on how we use and protect your data, please refer to our Privacy Policy.

A new era of medical indemnity.

Medical Indemnity Insurance

Your Details

Academic & Employment Details

Area of Practice

Orthopaedic surgery activity

General Questions

Risk Management

Indemnity Requirements