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Curriculum Vitae    
Personal Injury 
My professional liability insurance does not cover me for work outside my medical group.  I would like information about how I could be added to Benchmark's medical-legal professional liability coverage for my consulting.    
Step 1: A credentialing check will be performed.    
Step 2: A Consultant Package will be mailed to you, to include, but not limited to:    
a) Letter of Agreement and Fee Schedule
b) Consultant Questionnaire
c) Obtain Appointment Schedule
d) Schedule Consultant Orientation
   

   
Questions about this form?  Call 800-458-1261    

 

 

 

 

 

 
       
 
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