Physicians Insurance Consultants, Inc.

Specializing in Medical Malpractice Insurance

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All downloadable applications listed below require Adobe Reader to view. If you do not have Adobe Reader, please click on the link found below for Abobe's website in order to install Adobe software on your computer.

ADOBE

Professional Casualty Association

PCA Physicians & Surgeons App

PCA Corporate Application

 
 
 
 

Pennsylvania PRI Forms

PaPRI Physician & Surgeon Application

PaPRI Corporation Application

PaPRI Surgery Addendum for Applicants

PaPRI Ob/Gyn Addendum for Applicants

PaPRI Cosmetic Procedure Addendum for Applicants

PaPRI Physician Assistant & Nurse Practitioner Application

Physicians Insurance Program Exchange (PIPE)

PIPE Physician & Surgeon Application

 
 
 
 
 

Valiant Insurance Company (A-Rated)

*Please note that a NIQA (National Institiue of Quality Assurance) application must be completed and returned along with, or prior to your physician & surgeon application.


NIQA (National Institute of Quality Assurance) Application

Valiant Physician & Surgeon Application

 
 
 
 

Healthcare Providers Insurance Exchange (PA & NJ)

HPIX Physician & Surgeon App

HPIX Entity Application

HPIX Supplemental Claims Form

HPIX Subscriber's Agreement

HPIX Surplus Agreement

HPIX Welcome

HPIX Helpful Information