Medico-legal notification
If you believe a medico-legal issue will or might lead to a claim on your indemnity policy, you must notify us as soon as possible.
Depending on your notification, you may need to provide the following information. It’s easier to have this ready before starting.
- Member ID
- Correspondence you’ve received (format: doc, .docx, .pdf, .png, .jpg, .xls, .xlsx)
- Patient name and DOB
- Key dates relevant to the issue
Disclaimer: Please be aware that Avant Insurance Limited ABN 82 003 707 471 may be compelled to produce this document and any attachments as required by law in the course of any legal action or proceedings. Avant may be required to provide this form to investigators, complainants or other authorities.
Avant Insurance Limited is part of the Avant Mutual Group which includes Avant Mutual Group Limited and its related entities (Avant). Avant collects, uses and discloses your personal information to communicate with you, conduct our business (including research and providing Avant products and services) and comply with the law. This may include disclosing information to overseas entities which are not accountable under Australian privacy laws. If you don’t provide your information we may not be able to assist you or provide our products or services. For more information please read our Privacy Policy at [Privacy policy - Avant] or contact our Privacy Officer at privacy@avant.org.au. By providing your information you confirm that you understand, acknowledge and agree to your information being collected, used and disclosed as outlined above and in accordance with the Privacy Policy, including overseas disclosures. You can contact us at any time if you have any questions or wish to change your consent.
Professional indemnity insurance products are issued by Avant Insurance Limited, ABN 82 003 707 471, AFSL 238 765