In order to receive a quote for your medical indemnity from us, please complete the application form available through the "Application Form" button below.

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You will need the following information in order to complete the form:

    1. An approximate idea of the number of sessions in surgery, treatment, consultation or clinic.
    2. Approximate financials for the past accounting year and current accounting year. (Gross Income and Medico-Legal Income).
    3. Details of previous insurance/indemnity.
    4. Details of any claims or circumstances made against you. We may also require an up to date Letter of Good standing from            your current insurer/indemnifier.

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Please note that we consider the following to be true:

    1. Independent Practice is deemed to mean all un-indemnified work, i.e. non-NHS, regardless of venue.
    2. Surgical categories (minor, intermediate and major) are deemed to be those categories as defined by your private medical            insurer, i.e. BUPA.

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Once you have completed the form, please print or save it and e-mail the document to healthcare@paragonbrokers.com