Promptly Report Your Practice Changes

It’s imperative you immediately notify ISMIE’s Underwriting Division to report any
changes in your practice activity, thus ensuring adequate professional liability coverage.

Important changes to report to ISMIE include:

• New procedures performed (especially cosmetic procedures such as Botox, Collagen and Restylane injections; and cosmetic laser procedures, liposuction, Lipodissolve or Mesotherapy).
• Acceptance of a medical director position of a medical spa or day spa.
• Changes in practice location or mailing address.
• Changes in partners, shareholders, employees or allied health personnel.
• Creation of a new professional entity such as a sole shareholder corporation, multi-shareholder corporation or partnership.

To report practice changes, download a Change Request Form at www.ismie.com/coverages/underwriting/changes.html. Complete the form and fax to 312-782-2023. Questions? Call 800-782-4767 or e-mail uwtg@ismie.com.