State of Florida Malpractice Notice for Patients

THIS PHYSICIAN DOES NOT CARRY MALPRACTICE INSURANCE

NOTICE

IMPORTANT NOTICE UNDER FLORIDA STATUTE LAW 458.320.  PLEASE READ THIS IMPORTANT DOCUMENT AS THESE ARE YOUR RIGHTS UNDER FLORIDA STATUTE LAW 458.320

Dear Patient:

Under Florida law Statute (458.320 F.S.), physicians are generally required to carry medical malpractice

insurance or demonstrate financial responsibility to cover potential claims for medical malpractice. I HAVE

DECIDED NOT TO CARRY MEDICAL MALPRACTICE INSURANCE. This is permitted under Florida

law under certain conditions. Florida law imposes penalties against non-insured physicians who fail to satisfy

adverse judgements arising from claims of medical malpractice. This notice is provided pursuant of Florida

law statute (459.320 F.S.).

Thank you,

Lyall J. Ashberg MD

This form is provided to protect your rights under Florida Statute 458.320.

COPY OF STATUE 458.320 F.S. PROVIDED ON REQUEST