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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

Contact Details

Are you completing this form as an individual or on behalf of a business?
Main Contact Details(Required)
Main Contact Role(Required)
What best describes your role?
Main Contact Job Role(Required)
Companies Registered Address(Required)
Registered Address(Required)
What date do you require cover?
Please indicate medical staff that are employed within the business(Required)
Is the business classed as the clinical provider?(Required)
Do all employed staff above have their own medical malpractice cover?(Required)
Do you require indemnity for employed individuals?
Turnover Details
What was the turnover for the previous 12 months
What is the anticipated turnover for the next 12 months
 
NHS/Private
What % of work is NHS
What % of work is Private
 
Additional Information
How many operating theatres do you have within your facility?
Please confirm the number of beds within your facility
 

General Clinic Questions

Do you treat any high profile individuals?
Do you treat any sports professional or work with any professional sports club?
Is any of your work outside of the UK?
Do you plan to retire in the next five years?
Have you ever been subject of/aware of any circumstances that could give rise to any referral, complaint, inquiry or investigation or hearing by the GMC/GDC or any other registration body or had conditions imposed on your practice or been suspended or erased from medical/dental/specialist register?
Have you ever been subject of/aware of any circumstances that could give rise to, a disciplinary inquiry by your employer or practice privileges refused/withdrawn/made conditional by a health care provider?
Have you ever been cautioned by the police in respect of, or convicted of, any criminal allegation (including road traffic offences)?
Are there any other issues of which we might reasonably need to be aware when considering your application for membership?
Has any medical indemnity/medical defence organisation ever been declined, had special conditions applied, declined or cancelled?

Risk Management

Do you have a reliable method for recording and passing on messages?(Required)
Do you have a complaints system and nominated complaints manager?(Required)
Do you have a system of peer review in place to monitor standards of patient note taking?(Required)
Do you have a reliable method for making sure that the results of tests and investigations are received and communicated to patients?(Required)
Do you have a system for reviewing repeat prescriptions?(Required)
Do you have a procedure for recording and reporting events with adverse outcomes or the potential for an adverse outcome?(Required)
Are locums properly inducted?(Required)
Do you have a documented informed consent procedure?(Required)
Do all staff fully understand the concepts of informed consent?(Required)
Do you have a policy for managing difficult patients?(Required)
Are all staff vaccinated against Hepatitis B and is this monitored appropriately?(Required)
Do you obtain written agreement before using patient statements or photos?(Required)
Have you had indemnity insurance in place before?(Required)
Does the practice have a system to ensure that patients on medication requiring monitoring are identified and treated properly?(Required)
Have there been any gaps in your medical indemnity?(Required)
Are you aware of any complaints and/or claims that have ever been brought or threatened against you, and/or any circumstances which could lead to a complaint and/or claim against you?(Required)
Drop files here or
Max. file size: 10 MB.
    If you have a letter of good standing or any other information that may support your application please upload.

    Indemnity Requirements

    DD slash MM slash YYYY
    Declaration Statement(Required)

    Other Covers

    Please select other covers required

    Clinic Insurance

    Please provide your sums insured below
    If required
    If required
    Dates, Type of Claim and Costs.
    Max. file size: 10 MB.

    Buildings Insurance

    This should be based on the rebuild value and not the property value
    Max. file size: 10 MB.
    Marketing Consent(Required)
    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.
    CONTACT US
    • Email:
      info@allmed.co.uk
    • Enquiries:
      0203 7576950
    • Address:
      All Med Pro, Unit 5, Stanton Court, Stirling Road, Swindon SN3 4YH

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    All Med Pro is a trading style of All Medical Professionals Limited who are authorised and regulated by the Financial Conduct Authority Number: 309653.
    All Medical Professionals Limited registered in England number 4468555. Registered office: Unit 5, Stanton Court, Stirling Road, Swindon SN3 4YH
    © All Medical Professionals Limited 2025.

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