Bold Risk Retention Group
200 S. Andrews Ave, Suite 903 Fort Lauderdale, FL 33301
24/7 Service
844-275-2098
info@boldrrg.com
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About Us
Coverage Area
Applications
Submit A Claim
Contact Us
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About Us
Coverage Area
Applications
Submit A Claim
Contact Us
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Name
*
First
Last
Email
*
Phone
Specialty
Allergy & Immunology
Anesthesiology
Cardiology
Chiropractic Medicine
Cosmetic Surgery
Critical Care
Dentist
Emergency Medicine
Endocrinology
Family Medicine
Gastroenterology
General Surgery
Gynecology
Infectious Disease
Internal Medicine
Medical Director
Nephrology
Neurological Surgery
Neurology
Obstetrics
Oncology
Ophthalmology
Oral Surgery
Orthodontics
Orthopedic Surgery
Otolaryngology
Pain Management
Pediatrics
Plastic Surgery
Podiatry
Practice Entity Representation
Psychiatrist
Pulmonary
Radiology
Rehab and Behavioral Health
Telemedicine
Urology
Vascular Surgery
Zip Code of practice
I completed/will complete residency in
2030
2029
2028
2027
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
I perform surgical services
Yes
No
How many hours per week do you work?
less than 10
10-25
more than 25
Do you have any claims or incidents pending against you?
Yes
No
In the past 10 years, have you had any claims or incidents against you that resulted in a payment from yourself, an insurance carrier, or from a third party?
Yes
No
Any comments or questions?
Submit
