This Arbitration Agreement ("Agreement") is made between:
Provider:
Patient/Resident:
The parties agree that any disputes, claims, or controversies arising out of or relating to the services provided by the healthcare provider, including but not limited to medical malpractice claims, shall be resolved by binding arbitration in accordance with applicable law.
This Agreement applies to any claim by or against the healthcare provider, its employees, agents, or affiliates, as well as claims brought by the patient, their representatives, or heirs.
The parties understand they are waiving their right to a trial by jury or judge. This Agreement to arbitrate is voluntary and not a precondition to receiving medical treatment.
Arbitration will be conducted in accordance with the rules of a mutually agreed-upon arbitration organization. The decision of the arbitrator(s) will be final and binding.
This Agreement will be governed by the laws of the state in which the healthcare provider is located.
If any provision of this Agreement is found unenforceable, the remainder of this Agreement shall remain in effect.
By signing below, the parties acknowledge that they have read, understood, and voluntarily agree to the terms of this Arbitration Agreement.