{"id":12003,"date":"2022-11-16T21:56:37","date_gmt":"2022-11-16T21:56:37","guid":{"rendered":"https:\/\/cpatacabamcdev.wpengine.com\/?page_id=12003"},"modified":"2024-05-03T15:36:54","modified_gmt":"2024-05-03T15:36:54","slug":"insurance-information-form","status":"publish","type":"page","link":"https:\/\/cpata-cabamc.ca\/en\/your-practice\/insurance-requirements\/insurance-information-form\/","title":{"rendered":"Insurance Information Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"12003\" class=\"elementor elementor-12003\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6546ba2 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6546ba2\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3c45d9f\" data-id=\"3c45d9f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9cfeb87 elementor-widget elementor-widget-text-editor\" data-id=\"9cfeb87\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Please complete this form if your professional liability insurance information has changed in between renewal periods. If you previously submitted your insurance information during the 2024 renewal process earlier this year, please do NOT resubmit this form.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-fc9f794 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"fc9f794\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-397109a\" data-id=\"397109a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-104d9ca uael-gf-ajax-true uael-gf-style-box uael-gf-input-size-sm uael-gf-enable-classes-no uael-gf-button-left uael-gf-btn-size-sm elementor-widget elementor-widget-uael-gf-styler\" data-id=\"104d9ca\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"uael-gf-styler.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"uael-gf-style uael-gf-check-style elementor-clickable\">\n\t\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-861b50f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"861b50f\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1044d6f\" data-id=\"1044d6f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-af7a024 elementor-widget elementor-widget-text-editor\" data-id=\"af7a024\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>If you have any questions,\u00a0<a href=\"https:\/\/cpata-cabamc.ca\/communicate-with-us\/contact-us\/\" target=\"_blank\" rel=\"noopener\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/cpata-cabamc.ca\/communicate-with-us\/contact-us\/&amp;source=gmail&amp;ust=1669230048035000&amp;usg=AOvVaw1sNooRXeHAHUmdUvPpxhW0\">contact us<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Please complete this form if your professional liability insurance information has changed in between 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