Medical Office Insurance Quote Request

If you are a doctor or a physician, and you own or operate a Medical Office or Medical Practice in metro Atlanta, Georgia, or anywhere within the states of: Alabama, Florida, Georgia, North Carolina or Tennessee;, InsureUSA can help your Medical Office business with commercial general liability insurance, commercial auto liability insurance, commercial property insurance, professional liability (E&O or Malpractice) insurance, and workers compensation insurance.

Medical Office business owners and operators, please take a moment to fill out the online quote request form below and one of our representatives will contact you with a free, no-obligation Medical Office business insurance quote. This information will be kept confidential and will be used for Medical Practice business insurance quote purposes only.

InsureUSA is currently serving Medical Office business customers throughout metro Atlanta, Georgia and in the states of Georgia, Alabama, Florida, North Carolina and Tennessee. If your Medical Office business is not located in one these states, we will not be able to provide you with commercial insurance coverage, or provide you with Medical Office business insurance quotes.

* Required fields.

General Information
Your Full Name: *	*
Your Company: *	*
Address: *	*
City: *	*
State: *	*    Zip: * *
Federal Tax ID Number:
Business Phone: *	*  Fax:
Entity Type:	Individual Corporation Joint Venture LLC Partnership Other
E-mail Address: *	*Invalid format.
Your Business Website Address:

Current Insurance Information
Company Name: (not agency)
Policy Expiration Date:
Premium Amount: $
Years Insured:

About Your Business
Number of Employees:			Number of Doctors / Physicians:
Years in Business:			Number of Locations:
Annual Sales:		$	Annual Payroll:	$
Detailed Description of your Business:

Property Questions
Do you own your Building?	Yes No	Building Replacement Value:	$
		Replacement Value of Contents:	$
Do you have Company Vehicles?	Yes No	If Yes, How many?
Square Footage Your Business Occupies:		Number of Stories:
Exterior Walls:	Frame Masonry Stucco Metal Other	Basement:	Yes No

Additional Comments or Questions

Please click the "Submit Quote Request" button to send your quote request. No coverage is in effect until bound by an insurance carrier. This is a request for quotation only.

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