Application for Medical and Professional Liability Insurance
Instruction for returning Applications
- Click on the Application you want to download.
- Open your downloaded Application.
- Fill out the Application
- Save Application using your last name in the file name if possible.
3 ways to send
1. Attach Application File to an email address to
2. Fax Application to (586)585-1352
3. Print out Application and mail to :
24150 Little Mack Ave.
St. Clair Shores, MI 48080