Patient Arbitration Agreement Sample Contracts

PHYSICIAN-PATIENT ARBITRATION AGREEMENT
Patient Arbitration Agreement • September 18th, 2014 • California
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PHYSICIAN-PATIENT ARBITRATION AGREEMENT
Patient Arbitration Agreement • August 26th, 2019 • California
PHYSICIAN-PATIENT ARBITRATION AGREEMENT
Patient Arbitration Agreement • April 17th, 2012 • California
Patient Arbitration Agreement
Patient Arbitration Agreement • August 18th, 2022

What is arbitration? Arbitration is a way to settle a dispute between us without involving courts. It is usually faster, easier, more private, and less expensive for both of us because a neutral arbitrator is used to resolve the dispute. If you agree to arbitration, the decision by the arbitrator is considered final and you usually cannot go to court or appeal the decision. It is important that you understand this agreement.

Physician-Patient Arbitration Agreement – The Dermatology Specialists
Patient Arbitration Agreement • May 14th, 2019 • New York
PHYSICIAN-PATIENT ARBITRATION AGREEMENT
Patient Arbitration Agreement • February 19th, 2021 • California
Patient Arbitration Agreement
Patient Arbitration Agreement • February 19th, 2021

What is arbitration? Arbitration is a way to settle a dispute between us without involving courts. It is usually faster, easier, more private, and less expensive for both of us because a neutral arbitrator is used to resolve the dispute. If you agree to arbitration, the decision by the arbitrator is considered final and you usually cannot go to court or appeal the decision. It is important that you understand this agreement.

PHYSICIAN-PATIENT ARBITRATION AGREEMENT
Patient Arbitration Agreement • December 12th, 2008 • Nevada
PHYSICIAN-PATIENT ARBITRATION AGREEMENT
Patient Arbitration Agreement • February 19th, 2014 • California
CLINIC, PHYSICIAN, PATIENT ARBITRATION AGREEMENT
Patient 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

PHYSICIAN-PATIENT ARBITRATION AGREEMENT
Patient Arbitration Agreement • April 23rd, 2013 • Arizona
PHYSICIAN-PATIENT ARBITRATION AGREEMENT
Patient Arbitration Agreement • November 22nd, 2023 • California
PHYSICIAN – PATIENT ARBITRATION AGREEMENT
Patient Arbitration Agreement • August 20th, 2018 • New York
PHYSICIAN-PATIENT ARBITRATION AGREEMENT
Patient Arbitration Agreement • January 26th, 2022 • Arizona
PHYSICIAN-PATIENT ARBITRATION AGREEMENT
Patient Arbitration Agreement • August 11th, 2015 • California
PHYSICIAN-PATIENT ARBITRATION AGREEMENT
Patient Arbitration Agreement • March 14th, 2022 • California
PHYSICIAN-PATIENT ARBITRATION AGREEMENT
Patient Arbitration Agreement • September 1st, 2014 • California
PHYSICIAN-PATIENT ARBITRATION AGREEMENT
Patient Arbitration Agreement • December 2nd, 2010 • Arizona
PHYSICIAN-PATIENT ARBITRATION AGREEMENT
Patient Arbitration Agreement • August 9th, 2012 • California
Craig E. Amshel, M.D.ABSOLUTE SURGICAL SPECIALISTS, PLLC
Patient Arbitration Agreement • February 15th, 2017 • Florida

Under this practice, this Arbitration Agreement ("Agreement") should be read carefully and fully understood. If you have any questions before or after reading and signing this statement please ask the staff or my office manager. Please read this document clearly. Thank you for

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