Obtaining Professional Liability Coverage Info

Any questions regarding liability coverage requests may be directed to Chrissy Hagaman of the Risk Management Office at 314-362-6956 or mhagaman@wustl.edu.

Malpractice claims history

If malpractice claims history is needed, you will need to provide us with a written and signed release before the information will be provided. Access the release form by clicking the link below.

Release form (PDF)

Confirmation of insurance

If you are requesting privileges at a facility and verification of your terms of coverage at Washington University is required for a new employer or insurer, you may submit a request for confirmation of insurance by completing the form below.

Coverage Information Request

Your name

Primary WUSM department

Phone

Your Request

Please provide a current copy of my professional liability coverage information to the following entity:

Recipient’s name

Address line 1

Address line 2

City, State, ZIP

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