My Medical Malpractice Insurance
Doctor with Child Patient
Physician/Surgeon Malpractice Insurance
By filling out the indication form below, we will be able to provide you with an indication from the Nation's leading Medi-Spa Malpractice Insurance Providers. Whether you are simply serving your clients' massage and facial desires, providing more elaborate age management treatments such as Botox injections and Glycolic peels or treating various skin conditions such as scarring or sun damage, we want to help you choose the right insurance products for your liability needs.
You get peace of mind in knowing that you have the best coverage in place.

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Complete The Form Below For Your FREE Medi-Spa Quote
Fields marked with an 
*  are required

First Name: *
Middle: Last:
Title:
Facility Name : *
Phone: *
Email: *
Facility Address: *
Street:
City:
State:
County:
Zip:
Square Footage?
How many locations?
How many landlords
need proof of insurance?
SCHEDULE OF SERVICES
Please Indicate services and operators you wish us to insure:
LED/MICROCURRENT
LASER/IPL HAIR REMOVAL
Name of Non-Doctors to be insured:
Doctor Laser Operators
to be insured:
LASER/IPL PROFESSIONAL
(hair removal, rosacea, age/sun spots, non-ablative wrinkle, veins, cellulite, acne, photo facials)
Name of Non-Doctors to be Insured:
LASER/IPL TATTOO REMOVAL
   
Laser Doctor Operators
to be insured:
   
Laser Doctor Supervisors
to be insured:
   
BOTOX/DERMAL FILLERS
     
Name and Degree of who is to be Insured:
   
MESOTHERAPY/LIPODISSOLVE
   
Name and Degree of who is to be Insured:
   
SCLEROTHERAPY
       
Name and Degree of who is to be Insured:
   
Doctor Supervisor all spa services to be insured?
yes  no    
LED
Teeth Whitening:
yes  no        
Number to be insured
       
FACIALS AESTHETIC
         
Number performing service
       
FACIALS MEDICAL
         
Number performing service
       
MICRODERMABRASION
         
Number performing service
       
ELECTROLOGY
         
Number performing service
       
PERMANENT MAKEUP
         
Number performing service
       
OTHER (Please list services and number performing each)
   
Limit to be quoted:
     
Higher Aggregate? If Yes, please choose amount
       
PROPERTY COVERAGE?
       
Business Personal Property
       
Loss of Income:
     
Sign:
     
Glass at 2,500?
yes  no        

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