professional liability insurance program mental health practitioners

Individual Applications - Professional Liability Insurance for Mental Health Practitioners

For the fast and smooth processing of your application for professional liability insurance, please follow these steps:

Click to Download
Individual Mental Health Practitioner's Application
  1. Download the INDIVIDUAL MENTAL HEALTH PRACTITIONER’S APPLICATION form. This download will include:
    - Application
    - Faxing Instructions 
    - Direct Draft Authorization Form

  2. Complete, sign and date the APPLICATION and either fax it with the Direct Draft Authorization Form and a copy of a voided check or mail it with your payment in the form of a personal check, cashier’s check or money order.

  3. If you are not licensed or certified and/or you do not have a degree in a mental health field, you must send a resume or curriculum vitae with your application. If you have no degree, you must be licensed or certified. If you are a Social Worker, you must be licensed or certified as a social worker.

Click to Download
Individual Mental Health Practitioner's Application
If you currently have a "claims-made" type of  policy in your name and that policy has not yet expired, you may wish to apply for PRIOR ACTS coverage. If you are unsure what type of policy you currently have, please call your current carrier to discuss. Download the PRIOR ACTS APPLICATION and submit it with the Individual Mental Health Practitioner's Application above.

We will process your application as quickly as possible.

Thank you for considering Rockport Insurance Associates for your professional liability insurance.

USA

GROUP APPLICANTS
Please visit our "Groups" page for the application form.

CALIFORNIA AND LOUISIANA
GROUP APPLICANTS
Coverage is available only for groups of licensed psychologists. For an estimate of premium, please call us Toll Free at 1-800-423-5344 or email us.

professional liability insurance program mental health practitioners
Rockport Insurance Associates Provides Professional Liability Insurance for:
 
Individuals
Mental Health Counselors
Psychologists
School Psychologists
Psychological Examiners
Psychological Associates
Marriage & Family Therapists
Social Workers
Alcohol & Drug Counselors
Other Mental Health Practitioners 

Groups
"Groups" of Mental Health Practitioners

USA


If you would like to request an application to be sent by mail, please submit your request by phone, email or regular mail to the address below.

Rockport Insurance Associates
Professional Liability Insurance Company for Mental Health Practitioners

P.O. Box 1809
Rockport, Texas 78381-1809
Phone: 361-790-9043
Fax: 361-790-9754
Toll Free: 1-800-423-5344
Info@rockportinsurance.com

Call for personal service.
8:00 am to 4:30 pm CST
Monday to Friday.

 

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