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Medical Malpractice Arbitration Agreement
Free medical malpractice arbitration agreement template — a patient and healthcare provider agree to resolve malpractice disputes through arbitration instead of court.
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This free medical malpractice arbitration agreement covers 1. Agreement to Arbitrate, 2. Voluntary Nature, 3. Arbitration Process, 4. Right to Cancel, 5. Scope with 5 clearly marked [placeholder] fields to fill in — built for individuals and small businesses handling a straightforward legal document themselves needing a clear, professional document without commissioning custom legal drafting for a routine situation. Copy it into your own word processor, fill in the placeholders, and review it — or adapt it — before use. It's part of docstoc's free document template library, alongside business, legal, real estate, finance, and HR templates. Every template here is free to copy with no signup required, and each one carries a plain disclaimer: this is a starting point for informational purposes, not a substitute for advice from a licensed professional in your jurisdiction.
Medical Malpractice Arbitration Agreement
Provider/Practice: [Name] · Patient: [Name] · Date: [Date]
1. Agreement to Arbitrate
Patient and Provider agree that any dispute arising from professional negligence (malpractice) in connection with care provided will be resolved through binding arbitration, rather than through a lawsuit in court, except as provided below.
2. Voluntary Nature
Patient understands this agreement is voluntary and that signing it is NOT a condition of receiving care — the same care will be provided regardless of whether Patient signs.
3. Arbitration Process
Arbitration will be conducted by [a neutral arbitrator selected per [Rules/Organization] / a panel of arbitrators], with each party bearing [their own costs / costs split as described].
4. Right to Cancel
Patient may cancel this agreement within [Period, e.g. 30 days] of signing, by written notice to Provider, without affecting their care.
5. Scope
This agreement covers claims of medical negligence only, and does not limit Patient's right to file a complaint with a licensing board or regulatory agency.
6. Waiver of Jury Trial
By signing, Patient understands they are giving up the right to a jury trial for a malpractice claim, in exchange for arbitration, per the terms above.
Patient signature: ______________________ Date: ____________ Provider signature: ______________________ Date: ____________
*This document is provided for informational and educational purposes only and does not constitute legal advice. Many states specifically regulate medical arbitration agreements — some require particular disclosure language, a mandatory cancellation window (Section 4), and prohibit conditioning care on signing — an agreement that doesn't meet these state-specific requirements can be found unenforceable when a claim actually arises.*
Edit directly in the box above. Download PDF anytime — the docstoc.io footer is always included and cannot be removed.
What's included
- Edit online — click the document, fill in placeholders, download a PDF
- 6 standard sections: 1. Agreement to Arbitrate, 2. Voluntary Nature, 3. Arbitration Process, 4. Right to Cancel, 5. Scope, 6. Waiver of Jury Trial
- 5 clearly marked [placeholder] fields for quick personalizing
- Free to use — no account or signup required
- Fully editable — adjust any clause to match your actual situation
- Includes a signature block, ready to print or sign digitally
- Fixed docstoc.io footer on every PDF (not removable)
Who this template is for
Freelancers & solo founders
Handling routine business paperwork without commissioning custom legal drafting for every document.
Small businesses
Standardizing recurring documents — leases, agreements, notices — across a growing operation.
Anyone reviewing before signing
Using a clear starting structure to understand what a document should cover, even if a lawyer finalizes it.
Before involving a lawyer
A solid starting draft to review with counsel, or to use directly for a low-stakes situation.
FAQ
Is this medical malpractice arbitration agreement template really free?
Yes. Like every template in docstoc's library, this medical malpractice arbitration agreement is free to use, with no account or signup needed to view, edit, or download it.
What does this medical malpractice arbitration agreement cover?
This legal template includes 1. Agreement to Arbitrate, 2. Voluntary Nature, 3. Arbitration Process, 4. Right to Cancel. Fill in the [bracketed] placeholders, edit any clause online, then download a PDF — the docstoc.io footer stays on every export.
Is this legal advice?
No. This template reflects common practice, not your jurisdiction's specific requirements. Legal formalities (required language, witness or notarization rules, filing steps) differ by state and sometimes by county — confirm them with a licensed attorney before this document does any real work.
Can I edit the wording?
Yes. All 5 placeholder fields and every clause are editable right on the page — change what doesn't fit, then download an updated PDF anytime.
Where can I find more free templates like this?
Browse more free legal and related document templates in the docstoc library at /document-templates/.
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