massage therapy


Alternative/Complementary Medicines and Therapies
Insurance Proposal Form

Arthur J. Gallagher (now incorporating OAMPS INSURANCE BROKERS LTD) 
ABN 34 005 543 920 AFSL 238312 Ref: 0245-30JAN09

To apply for Practitioner Insurance with our Brokers, please fill in the following Proposal Form and click Send to submit your application.

Note: Once your online application has been submitted via the online form below, this will act as a cover note for insurance cover, however we will confirm the premium and period of insurance once we have reviewed your application.

Special Notice: This online application form is for IICT members are either: Executive, Full, Associate or Affiliate Members.
If you require insurance cover as a Student Member or Direct Sellers, CLICK HERE

If you have any questions on how to fill in this form call:


Free Call: 1800 222 012
Free Fax: 1800 000 472

International Phone: +61 3 9412 1223
International Fax: +61 3 9412 1668
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Insurance Proposal Form

NOTE: all fields in this form are manditory. If a field does not relate to you, please type 'NA' to ensure the form will submit. 

Period of Insurance

All policies run for a full 365 days from the date of joining. Please indicate your preferred start date of your policy below.


Note: IICT does not provide, nor is it licensed to give general advice about the insurance products listed on this website and recommends all IICT members obtain a product disclosure statement from Gallagher and read it prior to making a decision about their insurance products. IICT recommends all members seek their own independent advice on any insurance products and that members agree that all decisions about insurance are undertaken as their sole responsibility and is in no way by means of recommendation from the IICT.