Provider Arbitration Agreement Sample Contracts
PROVIDER ARBITRATION AGREEMENTProvider Arbitration Agreement • October 5th, 2015 • California
This arbitration agreement is entered into by and between the healthcare provider and the undersigned provider, (“Provider”) and the undersigned patient (“Patient”). For purposes of this agreement, “Provider” shall mean and include undersigned provider and each of the provider’s employees, independent contractors, agents, representatives, contractors, legal representatives, successors and assigns, and “Patient” shall mean and include Patient and all parties whose claims may arise out of or relate to the treatment or services provided by Provider for Patient, including Patient’s spouse, heirs, beneficiaries, and legal representatives and any children, whether born or unborn at the time of the occurrence giving rise to any claim against Provider. If Patient is a pregnant mother, the term “Patient” shall mean both the mother and the mother’s expected child or children.