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Complete all of the required Steps

All  Forms Must Be Filled Out, Saved and Then Emailed to support@chr501.org

CT SubDataSheet Must be Filled Out and Returned ASAP!

Have All Other Forms Submitted in One Week

Also you Must Provide Proof of Community HealthCare Resources as Additional Insured on Your Malpractice

Community HealthCare Resources

2550 Middle Rd Ste #400

Bettendorf, IA 52722

 

 

 

 

 

 

 

 

States That Do Not Require a State Form

AK, CO, FL, ND, NH, NM, NV, PA, SD, TN, TX, UT, WA and WY

Select Your State, Fill in the Required Information and Upload It at the Bottom of the Page

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