Application Request Form

Thank You!

Thank you for choosing DoctorDisability.

Here’s what Happens Next:

  1. We will email/mail an application packet to you
  2. You can expect a call from Exam One to schedule your complimentary medical exam (?)
  3. When you receive your application, fill it out and send it back to us
  4. We will then submit it to the insurance company
  5. When your policy is approved we will mail it to you
  6. The process takes on average 3-6 weeks

Any questions, please call us at866-899-7318.