Our new Policy Portal is now live! If you don't already have an invitation to link your policy, you will need your client number in order to link the policy. Please send an email to submissions@profsolutions.com to request your client number. Please visit our FAQ for more information and how-to videos.

Notice to policyholders in the Southeast recently affected by Hurricane Helene and/or Hurricane Milton. 

Medical Claim Form

All fields marked with * are required.

Insured Information

Your email address will never be sold. It will be used to send you important notices.

Claim Information

Lawsuit Filed? *

*Comments are for basic reporting details only. A claims representative will contact you for further details.

NOTE: Please do not attach any patient records to this form.

 

Coverage is subject to all terms, conditions and exclusions of the policy issued and any applicable endorsements.

Claims Advice or Report a Claim

From advice about a sensitive patient encounter or situation to responding to a written demand from an attorney, we’re here to support you.

Report a Medical Malpractice Claim