Certificate of Insurance Upload

Instructions:

Complete Submitter's info with your name
Choose your clinic location and verify with address
Upload COI for each DC
- Document should be named “COI-DC Name"
- It is best to upload all DC COIs at the same time
Click submit

As documents are uploaded, you will be contacted to discuss any changes that need to occur in your policies. If you encounter any issues uploading documents to FranConnect, please submit a ticket thru our helpdesk. For questions about this review or insurance, please contact: Michele.Kuechler@thejoint.com or 480-245-5960 x241


Fields marked with * are mandatory.


Submitter's Info
First Name : Last Name :


Location Details
*Franchise ID : Address : City : State / Province : Zip / Postal Code : Country : Phone : Document title 1 : Document 1 : Document title 2 : Document 2 : Document title 3 : Document 3 : Document title 4 : Document 4 : Document title 5 : Document 5 : Document title 6 : Document 6 : Document title 7 : Document 7 : Insurance Comments :