- Monday - Friday 08:30 - 5:00 (EST)
- chuck@medmalquotes.com
Select the appropriate application form that matches your professional role and download it to your device.
Once the file is saved, locate it on your device and open it using a compatible PDF reader.
Carefully complete all required fields in the form with accurate and up-to-date information.
Rename the file by adding your last name to help us identify and process your application efficiently.
Attach your completed application and email it to chuck@medmalquotes.com for fast delivery. We can drop ship to patients. All devices are easily paired to VitalCare.
Send your filled application via fax to (586) 585-1352 for secure transmission.
Print and mail your application to the address listed below for physical submission. Interstate Healthcare 24150 Little Mack Ave. St. Clair Shores, MI 48080
Below is a list of professional liability insurance applications. Please select and complete the form that matches your role or business type to ensure accurate coverage processing.
Below is a list of professional liability insurance applications. Please select and complete the form that matches your role or business type to ensure accurate coverage processing.
