Avant - Contact us

Contact us form - Medical Indemnity

Submit your enquiry

* indicates compulsory fields

Name *

The field is required

E-Mail *

The field is required

Contact Number *

The field is required

Member ID (if applicable)

Company ID (if applicable)

State/Territory

Nature of enquiry *

The field is required

Policy and Coverage Enquiries *

The field is required

Medico-Legal Assistance *

The field is required

Details of enquiry

Validation key *

The field is required

If you would like to notify us of an incident, please click here to complete the form

Privacy Notice: Avant Mutual and its related entities (Avant) collects, uses and discloses your personal information to communicate with you, conduct our business (including marketing, research and providing Avant products and services) and comply with the law. This may include disclosing information to overseas entities which are not accountable under Australian privacy laws and you may not be able to seek redress for a breach of your privacy which occurs outside of Australia. If you don’t provide your information we may not be able to assist you or provide our products or services. For more information please read our Privacy Policy at Privacy Policy or contact our Privacy Officer at privacy@avant.org.au. By submitting this form or otherwise providing your information you confirm that you understand, acknowledge and agree to your information being collected, used and disclosed as outlined above and in accordance with the Privacy Policy. You can contact us at any time if you have any questions or wish to change your consent.

Thank you

Your enquiry has been submitted.