Applications for Physicians
Please browse the following list of applications to determine which one best meets your needs. All applications must be completed in their entirety.
Any application questions may be directed to underwriting at 512.275.1830 or send a message via our contact form
Please submit all completed applications to underwriting via fax 512.275.1240 or by mail:
The Doctors Company
Attention: Underwriting Department
811 Barton Springs Road, Suite 800
Austin, TX 78704
Quick Links
Click one of the links below to be taken directly to the appropriate applications for your state.
Texas Applications
Mississippi Applications
Indications
Indications are available to physicians prior to submitting an application at no cost. The indiciation is an estimate that is based on the physician's county of practice, specialty, desired limits, and retroactive date. Indications are not binding. Please click here to receive a free indication of premium.
Indication/Quote Process
Once the application is received, underwriting will evaluate if the applicant qualifies for discounts. It is important to disclose full and truthful information on the application so that your policy will cover all of your practice and procedures. If you fail to disclose important procedures, you may not be covered for that added exposure. Once all information on the applicant is reviewed, a quote is given which the physician may then accept or decline. A policy is bound and issued upon receipt of premium payment.
Texas Applications
Standard and Continuous Policy Application
Regulatory Proceedings Coverage Application
Medical Defense coverage provides protection against Governmental Investigations.
Ancillary Application
Ancillary Application is used only when adding to a current Advocate, MD physician or group policy.
CRNA Application
Mississippi Applications
Physician: Standard and MMAP Application
Regulatory Proceedings Coverage Application
Medical Defense coverage provides protection against Governmental Investigations.
Hospital Application
Paramedical Application
Locum Tenens Application
Claim Release Authorization for MS Physicians
The claim release authorization is required when requesting claim history and/or loss runs for certification.
Notes:
- Please keep a copy of the application for your records
- Incomplete applications will delay premium proposals and quotes
- Applications must not be older than 90 days prior to requested effective date.
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