Loading
Get Aui Physicians App
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the AUI Physicians App online
This guide provides a clear and supportive approach for users to complete the AUI Physicians App online. By following the step-by-step instructions, you can ensure that all necessary information is accurately provided, facilitating a smooth application process.
Follow the steps to successfully complete your application.
- Press the ‘Get Form’ button to access the application form. This will enable you to open the document in a suitable format for filling it out.
- Begin with the general information section. Fill in your full name, degree, practice address, mailing address, and contact details including phone, fax, email, and website URL.
- Indicate your citizenship status and provide details about your medical licenses. Make sure to list all states where you are licensed to practice, along with the corresponding license numbers.
- Complete the medical education and training section. Enter the names of the institutions where you studied, along with your degree and specialty. Include completion status for internships, residencies, and fellowships.
- In the practice information section, clarify your type of employment and describe your current practice arrangement. Additionally, provide details about any partnerships or associations.
- Respond to questions about your malpractice history, and disclose any past claims or investigations related to your practice. Be thorough and accurate in these disclosures.
- Fill in the professional liability insurance history section, detailing your insurance coverage over the past seven years, including any claims-made policies.
- Specify the coverage you are requesting. Include desired effective and retroactive dates, policy limits, and any applicable deductible amounts.
- Review your completed application for any missed information. Ensure that it is signed and dated where required.
- Finally, save your changes, and download, print, or share the application as needed. Ensure that all required documentation is attached before submission.
Start filing your application online today to ensure prompt processing.
Yes, there are many free health apps.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.