Physician Application
Applications
Here you’ll find everything a physician needs to apply for coverage with MoDocs or manage an existing policy. Browse our applications, supporting forms, and legal documents below, or contact our office if you need help finding the right form.
Physician Application
This application also includes these documents:
Conditions of Acceptance
Authorized Form
Part-Time Affidavit (IF working less than 20 hours per week)
Opioid Questionnaire (IF prescribing pain medications)
Renewal Application (Existing Policyholders)
Locum Tenens Application
Moonlighting Application