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All Med Pro
Quotes for Dental & Medical Insurance
0203 757 6950
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Insurance type
Dentistry
Dental Indemnity
Dental Practice Insurance
Cyber Liability Insurance
Practice Overheads
Group Private Medical Insurance
Hands & Eyes
Pressure vessel inspection
Vets
Practice Insurance
Cyber Liability Insurance
Practice Overheads
Hands & Eyes
Pressure vessel inspection
Life Sciences
Medical Products
Vitamins/Supplements
Medical Tech/Wearables
Dental Laboratories
and Products
Private Hospital
Cyber Liability
Pressure vessel inspection
Commercial
Pressure vessel inspection
IT and Technology
Property Owners
Personal
Car
Property Owners
Home Contents
& Buildings Insurance
Surgeons
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Why AMP
Our Story
Our Team
Careers
Partners
OUR SUSTAINABLE VISION
Client area
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Refer a Friend
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Events
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podcasts
Contact
Home
Insurance type
Dentistry
Dental Indemnity
Dental Practice Insurance
Cyber Liability Insurance
Practice Overheads
Group Private Medical Insurance
Hands & Eyes
Pressure vessel inspection
Vets
Practice Insurance
Cyber Liability Insurance
Practice Overheads
Hands & Eyes
Pressure vessel inspection
Life Sciences
Medical Products
Vitamins/Supplements
Medical Tech/Wearables
Dental Laboratories
and Products
Private Hospital
Cyber Liability
Pressure vessel inspection
Commercial
Pressure vessel inspection
IT and Technology
Property Owners
Personal
Car
Property Owners
Home Contents
& Buildings Insurance
Surgeons
About AMP
Why AMP
Our Story
Our Team
Careers
Partners
OUR SUSTAINABLE VISION
Client area
Claims
Online Payment
My Account
Refer a Friend
News
Education
Events
Past webinars
podcasts
Contact
Step
1
of
6
16%
Your Details
Name
(Required)
First
Last
Date of Birth
(Required)
Day
Month
Year
Phone
(Required)
Email
(Required)
Address
(Required)
Street Address
Address Line 2
Postcode
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
What date do you require cover?
DD slash MM slash YYYY
Academic & Employment Details
Country of qualification
Year of qualification
Post Graduation qualifications/training
Medical school of qualification
Employment details
(Required)
What best describes your employment status?
Practice owner
Associate
Employed
Performer
Self-employed
Not currently employed
Contractor
Provider
How many hours per week do you work?
What % of your work is NHS?
(Required)
What was your income or the turnover of the business for the previous year?
Gross income (before expenses) if self employed. Gross income (before tax and national insurance) if employed.
What would you anticipate your income or the business turnover to be for the upcoming 12 months?
Gross income (before expenses) if self employed. Gross income (before tax and national insurance) if employed.
What % of your work is Private?
(Required)
What was your income or the turnover of the business for the previous year?
Gross income (before expenses) if self employed. Gross income (before tax and national insurance) if employed.
What would you anticipate your income or the business turnover to be for the upcoming 12 months?
Gross income (before expenses) if self employed. Gross income (before tax and national insurance) if employed.
Area of Practice
Please select your area(s) of practice
(Required)
Audiologist
Cardiologist
Dermatologist
Dietician
Endocrinologist
Gynecologist
Haematologist
Immunologist
Medical Lab Technician
Microbiologist
Neurologist
Nuclear Medicine
Nutritionist
Occupational therapist
Oncologist
Ophthalmologist
Optometrist/Optician
Orthopaedics
Pediatrician
Pathologist
Physiologist
Physician
Prosthetist/Orthotist
Psychiatrist
Psychologist
Radiographer
Radiologist
Sonographer
Surgeon
Urologist
Venereologist
Please provide further detail on the your speciality practice
Orthopaedic surgery activity
Please advise if you are employed by the NHS as a Consultant Orthopedic Surgeon?
Yes
No
Please select your areas of surgery
Hip
Knee
Ankle/Foot
Spinal
Trauma
Shoulder
Elbow
Wrist/Hand
Sports Injuries
Cancer Surgery
Other
How many years experience do you have in performing these activities?
Do you use or have you ever used Metal on Metal hip implants?
Yes
No
Please advise if you have ever undertaken individually or as part of a team any form of spinal surgery or treatment?
Yes
No
General Questions
Do you treat any high profile individuals?
Yes
No
Do you treat any sports professional or work with any professional sports club?
Yes
No
Is any of your work outside of the UK?
Yes
No
Do you plan to retire in the next five years?
Yes
No
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?
Yes
No
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?
Yes
No
Have you ever been cautioned by the police in respect of, or convicted of, any criminal allegation (including road traffic offences)?
Yes
No
Are there any other issues of which we might reasonably need to be aware when considering your application for membership?
Yes
No
Has any medical indemnity/medical defence organisation ever been declined, had special conditions applied, declined or cancelled?
Yes
No
Please provide further detail if you have said 'yes' to any of the questions in this section
Risk Management
Do you have a reliable method for recording and passing on messages?
(Required)
Yes
No
Do you have a complaints system and nominated complaints manager?
(Required)
Yes
No
Do you have a system of peer review in place to monitor standards of patient note taking?
(Required)
Yes
No
Do you have a reliable method for making sure that the results of tests and investigations are received and communicated to patients?
(Required)
Yes
No
Do you have a system for reviewing repeat prescriptions?
(Required)
Yes
No
N/A
Do you have a procedure for recording and reporting events with adverse outcomes or the potential for an adverse outcome?
(Required)
Yes
No
Are locums properly inducted?
(Required)
Yes
No
N/A
Do you have a documented informed consent procedure?
(Required)
Yes
No
Do all staff fully understand the concepts of informed consent?
(Required)
Yes
No
N/A
Do you have a policy for managing difficult patients?
(Required)
Yes
No
Are all staff vaccinated against Hepatitis B and is this monitored appropriately?
(Required)
Yes
No
Do you obtain written agreement before using patient statements or photos?
(Required)
Yes
No
Have you had indemnity insurance in place before?
(Required)
Yes
No
Does the practice have a system to ensure that patients on medication requiring monitoring are identified and treated properly?
(Required)
Yes
No
Please provide details of your indemnity history (indemnity provider and dates of coverage)
Have there been any gaps in your medical indemnity?
(Required)
Yes
No
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)
Yes
No
Please provide further details on claims
Supporting Information
Drop files here or
Select files
Max. file size: 64 MB.
If you have a letter of good standing or any other information that may support your application please upload.
Indemnity Requirements
What limit of indemnity do you require?
(Required)
If you require retroactive cover please input the relevant date
DD slash MM slash YYYY
Declaration Statement
(Required)
I/We declare that ater full invesigaion I/we are unaware of any claims and/or circumstances that could give rise to a claim, other than those already declared in the proposal. I/We declare that the statements and pariculars contained in the proposal are true and that I/we have not mis-stated or suppressed any material facts. I/we declare that I/we have made a fair presentaion of the risk, by disclosing all material maters which I/we know or ought to know or, failing that, by giving the Insurer sufficient informaion to put a prudent insurer on noice that it needs to make further enquiries in order to reveal material circumstances. I/We undertake to inform Insurers of any material alteraion to these facts occurring before compleion of the contract of insurance. However, the duty to disclose material facts coninues ater the compleion of the proposal form and throughout any period of insurance (and any extension thereto). I/We acknowledge that any deducible applied to my/our insurance policy is inclusive of all legal costs and I/we are financially responsible for paying this amount.
Phone
This field is for validation purposes and should be left unchanged.
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