These documents and applications are provided to you in Adobe Acrobat format. If you do not have Acrobat Reader installed on your computer, click here to download it now from Adobe.

Outpatient Allied Application: Allied Health Application

Supplementary Questionnaires:
Ambulance Services
Comprehensive Fertility Services
Correctional Services
Home Health Hospice & Staffing Services
Labs, Imaging & Lithotripsy Centers
MediSpa Services
Pain Management Centers
Pharmacy Services
Surgery Centers
All Other Treatment Centers

Clinical Research Application: CRL Application

Supplementary Questionnaires:
Contract Research Organization (CRO)
Institutional Review Board (IRB)/ Data Safety Monitoring Board (DSMB)
Independent Research Site (IRS)
Trial Sponsor

Hospital Application:
Hospital Application

Senior Living Underwriters Applications:  
Vent Bed Questionnaire
Proposed Acquisition Questionnaire
Senior Living Supplemental Application

©2024 Pro-Praxis is a division of and operates under the license of CRC Insurance Services, LLC, CRC of California Insurance Services, CA Lic No 0778135. No claim to any government works or material copyrighted by third parties. Nothing on this website constitutes an offer, inducement, or contract of insurance. Financial strength and size ratings can change and should be reevaluated before coverage is bound. This material is intended for licensed insurance agency use only. This is not intended for business owner or insured use. If you are not a licensed agent please disregard this communication.

Privacy Statement