Common Contracts
1 similar Patient Arbitration Agreement contracts
CLINIC, PHYSICIAN, PATIENT ARBITRATION AGREEMENTPatient Arbitration Agreement • April 18th, 2022
(“Patient”), engaged Jackson Oncology Associates, PLLC, and any employees thereof, and each Physician affiliated with the clinic (“Physician” or “Physicians”) to perform services in conjunction with Patient’s medical care. For and in partial consideration of the rendition of any and all present and future medical care and services, Patient agrees that in the event of any dispute, claim or controversy arising out of or relating to the performance of medical services, including but not limited to patient fees, informed consent, negligence or medical malpractice, or derivative claims for loss of consortium between Patient (whether a minor or an adult), the heirs-at-law or personal representative of Patient or Patient’s spouse, as the case may be, and the Clinic and each Physician individually, where the claim or the amount in controversy exceeds $5,000, such dispute or controversy shall be submitted to JAMS, or its successor, on an arbitration form for final and binding arbitration. JAMS
