How to Apply
Applications
The following applications are available for you to download and print in PDF format. Upon completion of the application, fax it to 512-314-4398 (attention: sales) and one of our representatives will follow up with you shortly. If you do not see the application that best suits your needs, please call 800-252-3628 or e-mail info@api-c.com.
If you are having trouble opening the PDF documents, click here to download Adobe Reader.
- Physician Application Texas & Oklahoma
(PDF) - Physician Application Arkansas (PDF)
- One-Page Application for Qualified Physicians (PDF)
- Note: Must have Underwriting pre-approval to use this application. Further information may be required.
- Certified Nurse-Midwife Application (PDF)
- CRNA & NA Application (PDF)
- Dentist Application (PDF)
- Entity Application (PDF)
- M.D. Anderson Resident Fellow Application (PDF)
- Moonlighter Application (PDF)
- Nurse Practitioner Application (PDF)
- Physical Therapist Application (PDF)
- Physician Assistant Application (PDF)
- Supplemental Application (PDF)
- Note: Must have Underwriting pre-approval to use this application.
