Integrity Insurance Center
Bringing More Value to Your Life and Health®
Phone (480) 892-5890  Toll Free (888) 892-5890
 Fax (480) 813-8924

Get a Quote
Whether you are an employer or an individual/family looking for Health, Life, LTC, or Disability Insurance, we'll need a complete health history to better serve you.  It's completely confidential.  Dental and Vision Insurance and Annuities don't require more than age and gender.

Please fill out the questionnaire below.  Print it out when you've completed it and either fax it to (480) 813-8924 or scan it back into your computer and email it to
with the the questionnaire as an attachment. This will will give us the information we need to get you an accurate quote.  If this is for a group insurance quote, it will be part of your application.