Express Insurance Quote for Speech Pathologist

Completing this online Proposal Form

Please answer all questions giving full and complete answers.
It is the duty of the proposer to provide all information that is requested in this Proposal Form as well as to disclose relevant facts. A relevant fact is a known fact or circumstances that may influence the evaluation of risk by the insurer. If you are uncertain about what a relevant fact is, please contact us.
If renewing an existing policy with Express Insurance, please ensure you check all information and make any necessary changes.

Business Details

Income Details

Total Annual Income

Employee Numbers

Do you employ staff (excluding yourself)?

Yes No

Total number of staff including yourself

Occupation

Select an occupation

Do you perform laser and or intimate procedures?

Yes No

Do you perform any other services other than:

Yes No

personal hygiene, including showering, bathing, oral hygiene, dressing and grooming;
toileting, bladder and bowel management and menstrual care;
eating and drinking;
attending appointments (Including medical or healthcare)
attending gyms, swimming pools or similar facilities as directed by a medical or healthcare professional
use of aids and appliances, hearing and communication devices;
mobility and transferring, for example moving in and out of bed and on or off the toilet; or
application of splints, basic first aid due to injuries sustained as a result of a participant's disability.
Companionship and social visits in other people's places of residence
Accompany to shops, cafes, restaurants, movies or parks
Assistance with domestic duties

Do you hold a current NDIS Worker Screening Check?

Yes No

Note this cover is designed to provide cover for an individual/singular practitioner

When applying for insurance please ensure you select the category of nursing that most accurately reflects your work. We cannot provide commentary on what specific aspects of your work as a nurse are covered. The policy covers you for the nursing activities you perform that aligns with the category of nurse you have selected, your training, qualifications, AHPRA Registration and is within the applicable laws of the jurisdiction within which you are working as a nurse.