We are proud to offer members of the American Academy of Child and Adolescent Psychiatry a premier program for Psychiatrists Medical Professional Liability Insurance. If you need any assistance regarding our insurance please call (800) 421-6694 x-2318.
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Download Applications
Applications often vary from state to state.
- * NEW BUSINESS *
- New Business Application for all states except the following:
- Kansas New Business Application
- Maine New Business Application
- Maryland New Business Application
- New York New Business Application
- North Dakota New Business Application
- * RENEWAL *
- Short Renewal Questionnaire (Except NY)
- NY Short Renewal Questionnaire
- Renewal Application
- Kansas Renewal Application
- Maine Renewal Application
- Maryland Renewal Application
- New York Renewal Application
- North Dakota Renewal Application
- * SUPPLEMENTAL *
- Neurology with Procedures (Except the following)
- Neurology with Procedures Maine
- Neurology with Procedures New York
- Neurology with Procedures North Dakota
Upcoming EventsProgram Information
Policies
Forms & Information
- Surcharge Information (KY, WV, NJ)
- Addendum to Application
- Claim Activity Form
- Extended Reporting Period Endorsement Refusal Form
- Extended Reporting Period Endorsement (Disability, Retirement or Death)
- Extended Reporting Period Endorsement Form - FREE
- Extended Reporting Period Endorsement Form-PAID
- Increase Limits of Liability (Except NY)
- Increase Limits of Liability (NY)
- Increase Defense Reimbursement Limit (Except NY)
- Increase Defense Reimbursement Limit (NY)
- New Jersey Consent form
- New York Consent form
- Quarterly Billing Request Form
- Occurrence vs Claims-made
- Kansas Health Care Provider Claim
“In Session with Allied World”
Quarterly Risk Management Newsletter
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Quarterly Risk Management Newsletter
Log in using Account Login to access all newsletters
| 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.
Please contact our office, if you need further clarification.