3. Have you ever been refused Membership of a MDO or been refused professional indemnity insurance or had your insurance or Membership cancelled or not been offered renewal or had conditions imposed on any cover or offer of cover?

4. Has any MDO or Medical Indemnity Insurer ever imposed any non-standard terms or conditions on your practice or professional indemnity policy? This includes, any requirement that you participate in a risk management program, or have they advised you that such requirements, terms or conditions will be imposed on your current or future indemnity policy or practice?

If you have previously held indemnity with another insurer we require your cases history or letter of good standing. Have you requested for a letter of good standing or cases history from your insurer?