Neurology – the Science of the nerves and the nervous system, especially of the disease affecting them. This is done by a Neurologist who is a physician specializing in neurology and is trained to investigate, or diagnose and treat neurological disorders.
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Applications often vary from state to state.
- * NEW BUSINESS *
- New Business Application for all states except the following:
- Maine New Business Application
- New York New Business Application
- North Dakota New Business Application
- * FILL IN FORMS *
- New Business Application
- Addendum to Application (If you answer YES to 10a)
- Claim Activity Form
- * SUPPLEMENTAL *
- Neurology with Procedures Maine
- Neurology with Procedures New York
- Neurology with Procedures North Dakota
- Neurology with Procedures (All other states)
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Forms & Information
- Surcharge Information (KY, WV, NJ)
- Addendum to Application
- Claim Activity
- Extended Reporting Period Endorsement Refusal Form
- Extended Reporting Period Endorsement (Disability, Retirement or Death)
- Extended Reporting Period Endorsement-Paid
- Extended Reporting Period Endorsement-Free
- Increase Limits of Liability
- Increase Defense Reimbursement New York Only
- Increase Defense Reimbursement Limits except New York
- New Jersey Consent
- New York Consent
- Surcharge Information
- Quarterly Billing
- Occurrence vs Claims-made
| Risk Management Course for Psychiatrists |
| Risk Management Hotline (for Insured Members) 855-218-8161 |
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*Coverage features and discounts are subject to individual state approval.
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