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Pharmacists Mutual Insurance Companies
HME Questionnaire
Page 1 of 25.

Thank you for taking the time to complete this questionnaire. The information you provide will help us fairly and accurately assess your insurance needs. While some questions may seem out of context, each response helps us determine the appropriate coverage for your business. To obtain a clear understanding of your operation, we may contact you with additional questions. We appreciate your understanding and cooperation.

 

To navigate the questionnaire, please use the "Back" and "Next" buttons located on the bottom of the page to ensure your answers are saved. If you are unable to complete the questionnaire, click the "Save and Exit" button to receive a link to continue at another time. Please note your responses will not be available if you return to the PMC website.

 

If you would like to provide additional comments or clarification, a comments box is located at the end of the questionnaire.