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All Med Pro
Quotes for Dental & Medical Insurance
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Home
Insurance
Dental
Life Sciences
Hospitals
Commercial
About AMP
Why All Med Pro?
Our Story
Our Team
Careers
Partners
Our Sustainable Vision
Client area
Claims
Online Payment
Refer a Friend
Education
Past webinars
Podcasts
Contact
Step
1
of
4
25%
Name
This field is for validation purposes and should be left unchanged.
Practice Details
Policy Start Date
What date would you like your cover to start?
What Type Of Practice?
*
Dental Practice
GP Practice
Opticians Practice
Veterinary Practice
Dental Lab
Pharmacy
Other
If you selected 'other' please specify
What Is Your Legal Trading Status?
Limited Company
Limited Partnership
Partnership
Partnership
Sole Trader
Insured Name
*
Business name (if trading as company) or full name (if applying as individual)
Is the trading name different to the above?
Yes
No
Trading Name
*
Main Contact Name
First Name
Surname
Policyholder Date of Birth
Practice Address
*
Address Line 1
Town
Postcode
Email
*
Phone
*
Business Details
What year did you purchase the practice?
Do you have three years or more practice management experience?
Yes
No
How Many Surgeries Does The Practice Have?
1
2
3
4
5
6
7
8
9
10
What Is The Expected Turnover For The Next 12 Months?
*
How Many Employees Does The Practice Have?
Is The Practice Under a Partnership?
Yes
No
Partners Name
*
First
Last
Partners Date of Birth
*
Second Partners Name
First
Last
Second Partners Date of Birth
Has your business been involved in any losses, claims or incidents that may result in a claim within the last 5 years?
Yes
No
Claims Information
*
Date
Type of claim
Claim cost
Premise Details
What type of location is this premises in?
*
Business Park
Domestic Premise
Covered Shopping Centre
Industrial Estate
Office Block Up To 10 Floors
Office Block With More Than 10 Floors
Precinct
Is the construction of superior build?
Yes
No
Unsure
Superior build means a purpose built medical/dental practice
Is this a listed building?
*
Not Listed
Grade 1 Listed
Grade 2 Listed
Grade 2* Listed
Preservation Order
Does the practice have a flat roof?
Yes
No
Please advise the % of flat roof
Please enter a number from
0
to
100
.
What type of construction is the flat roof?
Felt on timber
Asphalt
Concrete
Rubber Membrane
Other
Is the premises protected by an intruder alarm?
*
Yes
No
Does the alarm contract include the following:
Does the alarm have a maintenance contract in force?
Does the alarm have a police response?
Who will be contacted first should the alarm be activated?
Does the premises have a basement?
Yes
No
Your Insurance Cover
Do You Require Buildings Insurance?
*
Yes
No
Buildings sum insured
*
This is the full cost of rebuilding the premises, not the market value.
Are there any residential dwellings at the property?
*
Yes
No
Do You Require Tenanats Improvements Cover?
*
Yes
No
Tenants improvements insurance covers you if you rent or lease a property and have refurbished or improved the property at your own expenditure because your modifications or additions will not be covered under the landlord's buildings insurance.
Tenants Improvement Sum Insured
Contents Sum Insured
*
Unspecified contents are item that are not covered under specified contents.
Do you require cover for any specified contents items?
Yes
No
Specified contents insurance covers high risk items specified by yourself. Such items might include artwork, electronic equipment and precious metals.
Specific items list
Type of Item
Sum Insured
Do you require computers insurance?
*
Yes
No
Computers sum insured
Do you require cover for stock?
*
Yes
No
Stock sum insured
*
Assumptions
The following assumptions have been made and will form the basis of the quote provided:
*
Select All
The business is self contained with its own means of access
The property is not in an area with a history of flooding
The property is of standard construction [built of brick, stone or concrete, roofed with slate, tiles or concrete].
No insured or adjacent property suffers from or shows any visible signs of damage from subsidence, landslip or ground heave
The proposer is the sole occupant
All properties are heated by radiators (hot water) only
The property has no other commercial and/or residential units at the property
No proposer/director/partner of the Trade or Business or its Subsidiary Companies have ever, either personally or in any business capacity
*
Select All
Had any convictions or criminal offences which are not spent under the Rehabilitation of Offenders Act or has any prosecutions pending
Been declared bankrupt or insolvent or been the subject of bankruptcy proceedings or insolvency proceedings
Had a proposal refused or declined
Had an insurance cancelled
Had a renewal refused
Had special terms imposed
Who is your existing insurer?
What is your current premium?
All Med Pro offer a variety of addtitional insurance solutions. If you wish to be provided with additional information on the any of our products please select below:
Select All
Indemnity Insurance
Practice Overheads or Locum Insurance
Cyber Liability Insurance
Pressure Vessels Inspection
Directors and Officers Insurance
Home Insurance
High Value Motor Insurance
But to Let Insurance
Marketing Consent
*
Yes, I would like to receive email updates and marketing communications from All Med Pro.
No, I would not like to receive email updates and marketing communications from All Med Pro.
By ticking yes, you consent to receive email updates and other marketing communications from All Med Pro. We respect your privacy and will never share your information with third parties without your explicit consent. You can unsubscribe at any time by clicking the link provided in our emails. For more information on how we use and protect your data, please refer to our Privacy Policy.
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