Medical Indemnity Indication Form

    Your details:

    Please provide total number of patients for:

    Current Insurance Details

    The completion of this form will allow for an indication of price. To get an accurate price please ask us for a full application form and supplementary questionnaire relating to your specialty. Terms may also be subject to a confirmed claims experience. If you have any questions please call 01935 424085 to speak to an advisor.

    Data Protection Act – All personal information supplied by you will be treated in confidence by Medical Insurance Consultants Ltd and will not be disclosed to any third parties except where your consent has been received or where permitted by law. In order to provide you with products and services this information will be held in the data systems of Medical Insurance Consultants limited or our agents or subcontractors.


    Medical Insurance Consultants Ltd is authorised and regulated by the Financial Conduct Authority and is entered on the Financial Services Register under reference 309026.


    We are committed in providing a first class service to all our clients, not just when you take out a policy, but throughout the life of your policy. We make sure that you have the support and advice needed when it comes to claiming.


    We have been operating for over 30 years specialising in the insurance needs of healthcare providers and professionals. Our aim is to continue to develop, innovate, improve and reduce the cost of insurance for all our clients and future clients.

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