Considering insuring with Miga? It's quick and easy to find out more about insuring your practice with us.

By providing us with your contact and practice details, we will be able to review your circumstances and provide you with a quote for insurance that meets your specific needs. On completing the Form below, your details will be submitted to Miga and a staff member will be in contact with you within the next business day. If you have any queries about the Form, or if you would prefer to speak personally with someone about a quote, please contact Miga on Free Call 1800 777 156.

Title

First name

Last name

Practice Name

Suburb

State

Phone

Best time to call - From

Best time to call - To

Primary Speciality

Number of Practice Locations

Number of doctors working in the practice/s

Annual turnover of the practice

Currently Insured YesNo

Current Insurer

What limit, or sum insured, of cover is required?

Policy Type

How did you hear about us?

Do you have any additional comments regarding your practice or insurance requirements?

Comments