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Arbitration Downloads

The following documents are the written materials needed to implement arbitration. All these documents can be downloaded and printed from Microsoft Word files.

If you would prefer to receive these documents in printed form by mail please email spierce@umia.com.

Certification of Arbitration:
This document is to be downloaded, signed and dated to certify compliance with implementation of arbitration by an individual or group practice.

Written Explanation of Arbitration for Patients:
This handout is presented to patients for compliance with the requirement they receive a written description of arbitration.

Arbitration Agreement:
The current approved arbitration agreement that is to be used for all new agreements and to replace all older versions. Older versions must be replaced with this document at renewal.

ARBITRATION ALERT
REQUEST FOR ARBITRATION PACKET