Enroll Today


Become a Participating Surgeon Today!

Simply submit your practice information below to start the enrollment process and we will contact you immediately with the next step.  A Surgeon Acknowledgement Form must be signed and returned to complete your enrollment and issue your policy.

Enrolling is easy!

  • No cost to enroll; no monthly fee
  • No application required
  • Members of ASPS and/or ASAPS are pre-qualified to enroll

Submit your practice information below to begin enrollment.


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