Information and Quote Request Form

Thank you for your interest in The Psychiatrists' Program. To receive an application, a personalized premium quotation and insurance assessment, and risk management resources please complete the following information. A PRMS representative will be in contact with you to provide further details.

You may also contact us directly at TheProgram@prms.com or (800) 245-3333.

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About Your Current Policy






Please call (800) 245-3333 or e-mail TheProgram@prms.com for more information about The Program.

Renewal Application

If you have been asked to complete a renewal application - please click here.