VOLUNTARY ARBITRATION AGREEMENTVoluntary Arbitration Agreement • July 27th, 2017
This Arbitration Agreement (“Agreement”), by and between you, the patient, and/or the patient’s legal representative, (collectively referred to as, the “Patient”), and both, the individual, Dr. Hesham Fakhri, MD and the company Hesham Fakhri, MD, PLLC (collectively referred to as, “Provider”) (both Patient and Provider referred to as the “Parties”).
Thank you for opening your account with us!Voluntary Arbitration Agreement • February 4th, 2002 • Illinois
This General Application contains a negotiable contract (the "Account Agreement") through which you agree to assume certain contractual obligations and contractually waive certain rights. Accordingly, this Account Application, including the Account Agreement, MUST BE READ CAREFULLY and signed by EVERY person or group trading commodity futures or options through R.J. O’Brien (“RJO”). Original agreements must be completed and returned to your broker. Customers may print out account agreements from the Internet and send original signed documentation back to broker. However, customers utilizing Internet forms should pay particular attention to paragraph 13 of the Customer Agreement.
