Call Us 800.293.9190 ☰ ˟
Doctors’ Malpractice Insurance Solutions
Facebook Twitter Youtube LinkedIn
Call Us
800.293.9190
  • Home
  • Get A Quote
    • General Liability Insurance
    • Malpractice
    • Workers Compensation
  • Customer Service
    • General Liability Insurance
    • MalpracticeImage of right arrow
      • Limit Change Request
      • Relief Doctor (Locum Tenens) Request
      • Preceptorship Endorsement Request
      • Malpractice Certificate Of Insurance Request
      • Malpractice Insurance Renewal Application
      • Additional Insured - Malpractice Insurance
  • Blog
  • Make a Payment
  • Resources
    • Secure File Area
    • Refer a Friend
    • Important Links
    • Important Files
    • Free Reports
    • Insurance Glossary
    • Frequently Asked Questions
  • About Us
    • About Doctors’ Malpractice Insurance Solutions
    • Employee Directory
    • Customer Testimonials
    • Privacy Policy
  • Contact
    • Contact Us
Home > Relief Doctor Forms

Relief Doctor (Locum Tenens) Request


Step 1. Resident doctor to complete the request form.  The following link will direct you to the Relief Doctor Request Form hosted on Docusign

Locum Tenens Request Form

Step 2. Have the relief doctor filling if for the resident doctor complete the Relief Doctor Application. The following link will direct you to the relief doctor application hosted on Docusign

Locum Tenens Application
  • Philadelphia Insurance Company
  • MedPro
  • Berkshire Hathaway
  • State Fund
  • AmTrust
  • Admiral
  • Markel
Home| Get A Quote| Customer Service| Blog| About Us| Contact| Privacy Policy
(800) 293-9190 TOLL FREE | (847) 241-6520 FAX
Office hours: Mon - Fri, 9am - 4pm
CA License: #0G81336
Facebook Twitter YouTube LinkedIn
Doctors’ Malpractice Insurance Solutions

Powered by Insurance Website Builder