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Volunteer Information
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*This form contains an editable malpractice insurance application .pdf that usually requires a desktop to complete. If you have any issues, please contact the Clinical Leads (in email receipt). Disregard if you are not applying for volunteer provider malpractice insurance.
I would like to serve on the:
What Is Your Professional Capacity (LPN, Hygienist, Ophthalmologist, DDS, etc.)?
Volunteer Health Provider Insurance
Compassion Connect is registered in Minnesota as a Health Care Organization. As such, eligible* professionals can obtain malpractice coverage through the state by completing the Volunteer Application.
If interested in coverage, please complete the application attached to the email with the link to this page. Instruction for completing and saving the application are included in the email. Please upload the completed application below (Volunteer Provider Application). You will also need to upload a copy of your professional license. If your professional license is multiple pages, please create one pdf file that includes all of the pages. This system will only allow one upload per registration.
Application is due by Friday, OCTOBER 25, 2024. Any applications received after that date will not be processed by the state. *MD, PA, NP, RN, LPN, DDS, RDH, DT, ADT
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