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Acupuncture Applications

The Professional Liability Insurance Application for Claims-made Coverage for Acupuncturists is available in two formats as follows:

  • PDF - This version of the application can be downloaded for printing if you have Adobe Acrobat reader on your computer. Print the application, fill it out, assemble all supporting material, and mail it to the address on the form.   If you need Acrobat reader click on the icon below to download it. 

    Get Adobe Acrobat

  • HTML - This version of the application can be filled out online in an interactive web form.  You will still have to print the resulting document and mail it along with supporting material, but it will print pre-filled with the responses you supplied online. It will also specify exactly what supporting materials you need to supply based on your responses.

Trust MIEC to be your guide

Complete the appropriate forms and mail or fax to MIEC

MIEC
6250 Claremont Avenue
Oakland, California 94618-1324
FAX: 510-654-4634

6250 Claremont Avenue, Oakland, CA  94618    800.227.4527  Fax 510.654.4634
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