Remote Patient Monitoring, Chronic Care Management, Telehealth Limitations, Patient Responsibilities, Consent, Arbitration, Disenrollment, Termination, and Limitation of Remedies
Draft template for operational/legal review before use. Patient-facing medical contracts, arbitration clauses, liability caps, and website click-through flows should be reviewed by healthcare counsel in each state where services are offered.
Important - Not Emergency Care Stratton Healthcare provides remote chronic care management and remote monitoring support. It is not 911, urgent care, an emergency department, a hospital, acute care, continuous real-time monitoring, home health, hospice, or concierge medicine unless a separate written concierge agreement has been signed. If symptoms are urgent, sudden, severe, dangerous, or worsening, call 911 or seek emergency care immediately.
This disclosure and agreement applies to services provided by Stratton Healthcare Inc., including Remote Patient Monitoring, Remote Physiologic Monitoring, Chronic Care Management, longitudinal internal medicine support, care coordination, monthly review, device-supported monitoring, non-emergency telehealth support, and related care-management services.
By enrolling in Stratton Healthcare services, continuing to use the service, using a monitoring device, participating in calls, submitting information through the website, authorizing billing, accepting care-management support, or allowing another authorized person to enroll or coordinate services on your behalf, you acknowledge and agree to these terms.
This Article is intended to be the first article of this medical services agreement where California law applies. Arbitration requirements vary by state. This Article should be reviewed by healthcare counsel before use, especially when used for California patients or with electronic signatures.
It is understood that any dispute as to medical malpractice, that is as to whether any medical services rendered under this contract were unnecessary or unauthorized or were improperly, negligently or incompetently rendered, will be determined by submission to arbitration as provided by California law, and not by a lawsuit or resort to court process except as California law provides for judicial review of arbitration proceedings.
Both parties to this contract, by entering into it, are giving up their constitutional right to have any such dispute decided in a court of law before a jury, and instead are accepting the use of arbitration.
To the maximum extent permitted by law, any dispute, claim, controversy, demand, or cause of action arising from or related to Stratton Healthcare services, enrollment, consent, billing, monitoring, communications, device use, telehealth services, professional services, alleged delay, alleged nonresponse, alleged negligence, alleged professional negligence, alleged wrongful death, privacy, data transmission, or this Agreement shall be resolved through binding individual arbitration, not a jury trial or court trial, except where applicable law requires otherwise or allows judicial review of an arbitration award.
Claims must be brought individually and not as a class action, class arbitration, private attorney general action, representative action, consolidated action, or collective proceeding unless applicable law does not permit waiver.
The arbitrator must apply applicable substantive law, including all defenses, limitations, causation standards, comparative fault rules, failure-to-mitigate rules, patient noncompliance defenses, third-party fault defenses, and damages limitations.
The arbitrator may award only remedies that would be available to an individual claimant under applicable law and this Agreement.
Any arbitration award must honor the limitation of remedies, fee cap, no-guarantee provisions, patient responsibility provisions, and service limitations in this Agreement to the maximum extent permitted by law.
If any part of this arbitration provision is found unenforceable, the remaining portions shall be enforced to the maximum extent permitted by law.
Where California Code of Civil Procedure section 1295 applies, the arbitration agreement may be rescinded by written notice within 30 days of signature. If the patient is incapacitated or a minor, written rescission may be given by a guardian or conservator where permitted by law. Rescission of arbitration does not rescind the other service disclosures, patient responsibilities, consent provisions, emergency-care warnings, billing terms, or limitations that are otherwise enforceable.
A patient may be enrolled in Stratton Healthcare services directly by the patient or, where permitted by law and payer rules, through a caregiver, family member, emergency contact, facility, authorized representative, legally authorized representative, healthcare proxy, power of attorney, conservator, guardian, or other person acting with the patient's knowledge, consent, permission, authority, or apparent authority.
If you authorize, permit, request, accept, benefit from, participate in, use devices under, receive communications under, allow billing for, or continue receiving Stratton Healthcare services after enrollment by another person on your behalf, you acknowledge and agree that you are bound by these terms to the same extent as if you personally completed the enrollment.
You may not avoid, reject, disclaim, or circumvent these terms merely because a caregiver, family member, facility, representative, emergency contact, or other authorized person assisted with enrollment, completed enrollment, communicated with Stratton Healthcare, provided your information, accepted devices, arranged services, authorized billing, or coordinated care on your behalf.
If another person enrolls you without your actual consent, legal authority, apparent authority, or later acceptance of services, you must notify Stratton Healthcare immediately. Until Stratton Healthcare receives notice disputing enrollment or withdrawing consent, Stratton Healthcare may reasonably rely on the information, consent, authorization, participation, device use, billing authorization, and communications provided by you or by persons acting on your behalf.
If you continue to use the service, participate in calls, use monitoring devices, accept care-management support, allow billing, or fail to object after learning of the enrollment, you ratify the enrollment and agree to be bound by these terms to the maximum extent permitted by law.
For patients who lack capacity or require assistance, enrollment may require consent from a legally authorized representative, healthcare proxy, power of attorney, conservator, guardian, or other legally permitted decision-maker. Stratton Healthcare may request documentation of authority when appropriate.
Nothing in this section requires Stratton Healthcare to provide services when consent, authority, eligibility, medical necessity, payer compliance, or clinical appropriateness is unclear. Stratton Healthcare may pause, decline, suspend, or terminate services if it cannot verify appropriate consent, authority, participation, or eligibility.
Stratton Healthcare provides non-emergency chronic care management, remote monitoring support, longitudinal internal medicine review, and care coordination. These services are designed to help manage chronic conditions over time, identify trends when possible, review available vitals and symptoms, support medication and care-plan review, coordinate with other clinicians, and reduce gaps in care.
Stratton Healthcare is not an emergency service, urgent care service, ambulance service, hospital, acute care facility, skilled nursing facility, home health agency, hospice agency, assisted living facility, in-home physician service, continuous monitoring service, or concierge medicine service unless a separate written concierge agreement has been signed.
Stratton Healthcare's services are remote services. In-person visits, home visits, facility visits, bedside visits, or house calls are not part of the standard service. If a Stratton physician or staff member makes an occasional in-person visit, courtesy visit, facility visit, or house call, that does not change the remote nature of the service and does not create any obligation to provide future in-person visits.
Stratton Healthcare may provide a continuous longitudinal relationship for chronic care support and may remain involved over time if services remain medically appropriate, patient participation continues, payer rules permit, and Stratton Healthcare determines that continued service is clinically appropriate.
Stratton Healthcare focuses on chronic and longitudinal medical issues, including conditions such as hypertension, diabetes, heart failure, COPD, atrial fibrillation, chronic kidney disease, post-stroke history, medication complexity, recurrent hospitalizations, and other medically complex chronic conditions.
Stratton Healthcare may, when available and clinically appropriate, try to help with new symptoms, changes in condition, medication questions, referrals, transitions of care, or care coordination. However, occasional assistance with a new or acute issue does not convert Stratton Healthcare's service into emergency care, urgent care, same-day acute care, continuous monitoring, or concierge medicine.
If a symptom is sudden, severe, rapidly worsening, dangerous, or concerning, you must call 911, go to the emergency department, contact urgent care, or contact your treating physician directly. You must not wait for Stratton Healthcare to respond.
Stratton Healthcare may offer different levels of service. The scope, frequency, access, response expectations, physician involvement, staff involvement, service commitments, and cost may vary by service tier.
Standard RPM/CCM services are intended for non-emergency chronic care management and remote monitoring support. Standard RPM/CCM services do not include unlimited direct physician access, immediate physician response, same-day advice on demand, after-hours physician availability, house calls, or a doctor "on speed dial."
Having a physician available for immediate or frequent direct access is expensive, time-intensive, and limits how many patients can be safely served. If you want direct physician access, immediate physician advice, more frequent review, enhanced availability, or concierge-level support, you must enroll in a separate written concierge service plan if available.
Where payer rules require non-emergency access channels for care-management services, Stratton Healthcare may provide designated phone, portal, secure messaging, or other communication options for chronic-care needs. Those access channels are not emergency channels, do not guarantee immediate physician response, and do not replace 911, urgent care, emergency department care, or concierge medicine.
Stratton Healthcare may use alerts, dashboards, thresholds, reports, device data, software tools, or vendor systems to improve monitoring and care coordination. These tools are intended to support care. They do not create a guarantee of real-time review, immediate response, same-day review, emergency detection, or prevention of harm.
Stratton Healthcare does not guarantee that every reading will be reviewed immediately, on the same day, overnight, during weekends, during holidays, or before a medical event occurs.
The standard service commitment is periodic and/or monthly review of available information when clinically appropriate and when the patient remains enrolled, reachable, medically appropriate for the service, and properly connected.
If you believe your condition requires more frequent monitoring, same-day review, immediate physician advice, direct physician access, or continuous supervision, you must obtain those services separately through your primary physician, specialist, urgent care, emergency department, hospital, home health agency, facility, concierge physician, or other appropriate care provider.
Stratton Healthcare may review available vitals, medications, symptoms, hospitalizations, emergency visits, care gaps, referrals, and chronic-care issues periodically and/or monthly.
Monthly or periodic review does not mean continuous surveillance.
You are responsible for promptly reporting symptoms, medication changes, hospitalizations, emergency department visits, skilled nursing stays, hospice enrollment, falls, fainting, worsening conditions, abnormal readings, device problems, or other material changes.
Stratton Healthcare does not know what you are experiencing unless you, your caregiver, your facility, your family, your device, your physician, or another authorized source communicates it to Stratton Healthcare. If you do not disclose a problem, you cannot reasonably expect Stratton Healthcare to know about it.
Stratton Healthcare may listen to and consider a broad range of symptoms, concerns, medication issues, chronic conditions, social factors, functional issues, and care-coordination needs. Stratton Healthcare does not use an artificial "one complaint per visit" limitation when reviewing chronic care issues.
However, Stratton Healthcare's willingness to consider broader issues does not mean every issue can be diagnosed, managed, treated, or resolved remotely. Some complaints require physical examination, labs, imaging, urgent evaluation, specialist assessment, emergency care, hospital care, in-person care, or another provider's direct management.
If a complaint is outside the chronic conditions Stratton Healthcare is managing, Stratton Healthcare may still consider it, advise escalation, recommend follow-up, coordinate with another provider, or document the concern. That does not mean Stratton Healthcare assumes full responsibility for every medical issue you may have.
You understand that remote care has inherent limitations. Stratton Healthcare may be unable to detect, diagnose, or manage certain conditions remotely.
Examples of issues that may be missed, delayed, or require in-person evaluation include, without limitation:
You agree that remote monitoring and telehealth are tools to support care. They are not substitutes for emergency care, in-person examination, diagnostic testing, hospitalization, or direct physical assessment when those are needed.
You are responsible for using monitoring devices as instructed and notifying Stratton Healthcare immediately if a device is not working, not transmitting, inaccurate, disconnected, damaged, lost, not charging, or not being used.
You may have access to a portal, chart, device application, or other record where available. You are encouraged to periodically confirm that your readings are being recorded and transmitted.
You must not assume that no news means your readings are normal.
You understand that some patients check vitals frequently, some check vitals inconsistently, and some may miss days or weeks due to travel, illness, device issues, personal choice, forgetfulness, caregiver issues, or other reasons. Missing readings alone may not tell Stratton Healthcare whether you are stable, unstable, hospitalized, deceased, uninterested, traveling, noncompliant, disconnected, or simply not checking.
Therefore, you must explicitly tell Stratton Healthcare if you want to stop services, if your device is not being used, if your condition changes, if you are hospitalized, if you enter a facility, or if services are no longer desired.
Stratton Healthcare may rely on third-party manufacturers, software vendors, connectivity providers, device suppliers, cloud platforms, data-transmission systems, and monitoring platforms.
Stratton Healthcare does not manufacture most devices and does not control all aspects of device performance, cellular service, Bluetooth connection, internet access, Wi-Fi availability, cloud uptime, vendor software, dashboards, automatic data upload, or data transmission.
Device data may be delayed, incomplete, inaccurate, not transmitted, not received, not reviewed, or not actionable due to technical issues, patient use issues, vendor issues, connectivity issues, device issues, software issues, or other factors outside Stratton Healthcare's control.
You remain responsible for seeking medical attention based on symptoms and clinical concern, regardless of whether device data is transmitted or reviewed.
You, your caregiver, your emergency contact, your family, your facility, or your authorized representative must notify Stratton Healthcare promptly if any of the following occurs:
Stratton Healthcare may not know about a hospitalization, facility stay, hospice enrollment, or death unless someone tells Stratton Healthcare.
If death occurs and Stratton Healthcare is not notified, Stratton Healthcare may continue to receive, review, process, or act on available device data or chart information without knowing that death occurred. If a device is used by another person after death, if readings continue after death, or if no one notifies Stratton Healthcare of death, Stratton Healthcare is not responsible for confusion, delay, continued monitoring, billing, outreach, documentation, or reliance caused by the failure to notify Stratton Healthcare.
Stratton Healthcare may assist with referrals, home health coordination, rehabilitation coordination, specialist communication, medication review, hospital follow-up, facility communication, or communication with your primary care physician when clinically appropriate and authorized.
Stratton Healthcare may need to coordinate with, rely on, or refer you back to your primary care physician, specialist, facility, hospital, home health agency, hospice, urgent care, emergency department, or other provider.
Stratton Healthcare does not guarantee that any referral will be accepted, approved, covered by insurance, scheduled promptly, medically appropriate, or successful. Third-party providers remain responsible for their own care, decisions, delays, omissions, staffing, scheduling, billing, and services.
You consent to receive Stratton Healthcare RPM, CCM, care coordination, remote monitoring, longitudinal internal medicine support, and related services when medically appropriate and permitted by law, payer rules, and clinical judgment.
You authorize Stratton Healthcare to bill Medicare, Medicare Advantage, Medicaid if applicable, commercial insurance, secondary insurance, supplemental insurance, or you directly when permitted by law and payer rules. You authorize release of information needed for treatment, payment, healthcare operations, compliance, audit, coordination of care, and legal purposes.
You understand that insurance coverage is not guaranteed and that you may be responsible for deductibles, coinsurance, copayments, non-covered amounts, or denied amounts where permitted by law and payer rules.
You must notify Stratton Healthcare if another practitioner, company, facility, or provider is providing or billing remote monitoring, chronic care management, principal care management, transitional care management, remote therapeutic monitoring, behavioral health integration, chronic pain management, home health, hospice supervision, or similar services. Stratton Healthcare may pause, decline, modify, or terminate services if duplicate billing or payer conflict exists.
You understand that certain services may require patient consent, an established patient relationship, medical necessity, appropriate documentation, and payer-specific requirements. Stratton Healthcare may decline to provide or bill a service when those requirements are not met.
If Stratton Healthcare's services, service level, response time, remote format, access limitations, chronic-care focus, monitoring limitations, or terms do not satisfy your needs, you must explicitly notify Stratton Healthcare that you want to cancel, disenroll, or stop services.
You may not assume that failure to answer calls, failure to check vitals, failure to use a device, travel, silence, or nonparticipation automatically cancels services.
Unless and until you clearly disenroll or Stratton Healthcare terminates services, Stratton Healthcare may continue to treat you as enrolled, subject to payer rules, medical necessity, participation requirements, and clinical appropriateness.
Stratton Healthcare must be able to contact you to provide safe and effective services.
If Stratton Healthcare calls, messages, or otherwise contacts you and you do not respond, Stratton Healthcare may begin a nonresponse period. If you remain unreachable or do not meaningfully participate for 60 consecutive days from the first documented unanswered outreach attempt, Stratton Healthcare may suspend or terminate RPM/CCM services, stop monitoring, stop billing, request return of equipment if applicable, and document that you are no longer actively participating.
Before termination where required or clinically appropriate, Stratton Healthcare may attempt reasonable outreach by phone, voicemail, text, email, portal message, mail, emergency contact, caregiver, or other contact information on file.
Where required by law or professional judgment, Stratton Healthcare may provide written notice, identify a final date of availability for limited non-emergency transition support, provide information about alternative sources of care, and explain how to obtain medical records.
Termination of Stratton Healthcare services does not terminate your relationship with your primary care physician, specialists, emergency department, urgent care, hospital, facility, home health agency, hospice provider, or other treating clinicians. You remain responsible for obtaining ongoing medical care.
If services are terminated for nonresponse, you may request re-enrollment later. Re-enrollment is not guaranteed and depends on eligibility, medical appropriateness, payer rules, patient participation, device availability, staff capacity, and Stratton Healthcare's clinical judgment.
Many Stratton Healthcare patients have serious chronic illness, advanced age, multiple medications, multiple specialists, recent hospitalization, recurrent emergency visits, functional decline, cognitive impairment, or high risk of future hospitalization.
You understand that future hospitalization, emergency department visits, disease progression, falls, complications, functional decline, worsening symptoms, and death may occur despite remote monitoring and chronic care management.
Stratton Healthcare attempts to reduce gaps in care and identify trends when possible. However, not every decline produces a visible trend, not every trend is transmitted, not every transmitted trend is reviewed in real time, and not every deterioration is predictable or preventable.
Remote monitoring and chronic care management may provide benefits across populations of patients, but individual outcomes vary greatly.
Stratton Healthcare does not guarantee prevention of hospitalization, emergency department visits, falls, worsening illness, medication complications, missed diagnoses, functional decline, disease progression, or death.
Stratton Healthcare does not guarantee detection of every abnormal trend, diagnosis of every condition, same-day intervention, symptom improvement, lower healthcare costs, insurance coverage, or any specific medical result.
Medical outcomes vary based on age, disease severity, adherence, medication complexity, caregiver involvement, facility support, communication, comorbidities, access to other physicians, social factors, device use, and many other variables.
You agree to inform your family, caregiver, emergency contact, facility, authorized representative, and relevant support persons that Stratton Healthcare is a non-emergency, remote chronic-care management and monitoring service.
You agree that your family, caregiver, emergency contact, facility, authorized representative, heirs, estate, and successors should promptly notify Stratton Healthcare of hospitalization, facility admission, hospice enrollment, death, major medical change, device non-use, or desire to stop services.
To the maximum extent permitted by law, you agree that your family members, caregivers, emergency contacts, representatives, estate, heirs, successors, and affiliates are bound by your acknowledgments regarding the limited scope of services, non-emergency nature of services, no real-time monitoring guarantee, duty to seek emergency care, telehealth limitations, device limitations, patient reporting duties, no guaranteed outcome, arbitration, and limitation of remedies.
Where claims cannot legally be waived or limited, Stratton Healthcare reserves all defenses, including lack of duty, lack of causation, comparative fault, third-party fault, patient noncompliance, failure to mitigate, assumption of known risks, unavoidable consequences, and the limitations stated in this Agreement.
To the maximum extent permitted by law, you agree that Stratton Healthcare's total aggregate liability for any claim, dispute, judgment, award, settlement, penalty, damages, cost, attorney's fees, or loss arising from or related to services shall not exceed the total amount actually received by Stratton Healthcare from you, Medicare, Medicare Advantage, Medicaid if applicable, commercial insurance, secondary insurance, supplemental insurance, or any other payer for your RPM, CCM, and related care-management services during the twelve months immediately preceding the event giving rise to the claim.
If the claim arises within the first twelve months of services, the maximum aggregate liability shall not exceed the total amount actually received by Stratton Healthcare for your services before the event giving rise to the claim.
You understand and agree that this limitation is reasonable because RPM/CCM services are limited-scope, remote, non-emergency, non-continuous, non-acute, and non-concierge services. You understand that the amount paid to Stratton Healthcare for these services may be small compared with the complexity and risk of managing chronic medical illness remotely.
To the maximum extent permitted by law, you waive and release any right to recover punitive damages, exemplary damages, consequential damages, special damages, attorney's fees except where required by law, or damages caused by your failure to disclose symptoms, seek emergency care, use devices correctly, participate in services, follow medical advice, or notify Stratton Healthcare of material changes.
Where damages cannot legally be limited, any award must be reduced by comparative fault, third-party fault, collateral-source offsets where permitted, avoidable consequences, failure to mitigate, patient noncompliance, lack of causation, and all other defenses available under applicable law.
To the maximum extent permitted by law, each party is responsible for its own legal fees and costs unless otherwise required by applicable law, arbitration rule, court order, or written agreement.
If a claim is subject to the limitation of remedies above, any recoverable attorney's fees, costs, or expenses shall be included within, and not added on top of, the maximum aggregate recovery permitted by this Agreement unless applicable law requires otherwise.
If you believe Stratton Healthcare's services are not helpful, not appropriate, not meeting expectations, or no longer desired, you should provide written notice requesting review, correction, cancellation, or disenrollment.
Nothing in this Agreement prevents truthful statements, lawful complaints, communication with physicians, communication with insurance plans, communication with attorneys, or contact with regulators.
However, you agree not to knowingly make or publish false statements of fact about Stratton Healthcare, its staff, physicians, services, billing, monitoring, response time, role, or medical care. You agree not to misrepresent Stratton Healthcare as an emergency service, acute care service, real-time monitoring service, concierge medical service, hospital, home health agency, hospice agency, or guarantee of medical outcome.
You authorize Stratton Healthcare to communicate with you and, where authorized, with your caregivers, emergency contacts, family members, facilities, pharmacies, physicians, specialists, hospitals, home health agencies, hospice agencies, insurers, device vendors, and other care-team members by phone, voicemail, text message, email, portal, secure messaging, mail, fax, or other reasonable communication methods.
You understand that text messages, emails, voicemails, website forms, and portal messages are not emergency channels and may not be reviewed immediately. If you have an emergency or urgent symptom, call 911 or seek emergency care immediately.
You understand that some communication methods may carry privacy or security risks. Stratton Healthcare will use reasonable safeguards as required by law, but you accept the inherent limitations of remote communications and third-party systems.
Nothing in this Agreement requires Stratton Healthcare to provide services that are not medically necessary, not covered, not properly documented, not permitted by law, outside scope of practice, inconsistent with payer rules, or contrary to professional judgment.
Nothing in this Agreement requires Stratton Healthcare to waive required patient cost-sharing, submit improper claims, provide duplicate services, bill for unavailable services, or act outside applicable Medicare, Medicaid, commercial payer, professional, privacy, or healthcare compliance rules.
If this Agreement conflicts with non-waivable law, payer requirements, professional obligations, patient-abandonment rules, privacy law, or medical judgment, Stratton Healthcare may modify, pause, terminate, or decline services as needed to comply with applicable requirements.
If any provision of this Agreement is found invalid, unlawful, void, or unenforceable, that provision shall be limited, modified, severed, or enforced to the maximum extent permitted by law, and the remaining provisions shall remain in full force and effect.
Stratton Healthcare's decision to provide courtesy assistance, additional communication, occasional in-person support, acute-issue guidance, or help beyond the standard service does not waive any limitation in this Agreement and does not create a future obligation to provide the same or similar assistance.
This Agreement, together with any signed service tier, enrollment form, consent form, privacy notice, billing consent, concierge agreement if any, and payer-required disclosures, represents the agreement governing Stratton Healthcare's services to the maximum extent permitted by law.
By continuing, enrolling, signing, using a device, accepting services, allowing billing, or permitting an authorized person to enroll or coordinate services on my behalf, I acknowledge:
Important: This Is Not Emergency Care Stratton Healthcare provides remote chronic care management and remote monitoring support. We are not 911, urgent care, an emergency department, a hospital, acute care, continuous monitoring, home health, hospice, or concierge medicine. If you have urgent or worsening symptoms, call 911 or seek emergency care immediately.
Button: I Understand - Continue
By selecting “I Agree & Electronically Sign,” checking the acceptance box, logging into the patient portal after being presented with this Agreement, submitting an enrollment or start form, using Stratton Healthcare services, using a monitoring device, participating in calls, authorizing billing, or accepting care-management support, I confirm that I have had access to this Agreement and accept it to the maximum extent permitted by law.
I understand and agree that Stratton Healthcare provides remote, non-emergency chronic care management and/or remote monitoring support. Stratton Healthcare is not 911, urgent care, emergency care, hospital care, acute care, continuous monitoring, home health, hospice, or concierge medicine. If I have urgent, severe, sudden, dangerous, or worsening symptoms, I must call 911 or seek emergency care immediately.
I understand and agree that this Agreement includes Article 1 — Arbitration of Medical Malpractice Claims, emergency-care warnings, remote-care limitations, patient responsibilities, third-party enrollment terms, service-tier limitations, termination terms, limitation of remedies, and legal-fee terms.
If I was enrolled or assisted by a caregiver, family member, emergency contact, facility, authorized representative, legally authorized representative, or other person acting with my consent, permission, authority, apparent authority, or later acceptance of services, I agree that I am bound by this Agreement and may not avoid or circumvent it merely because another person helped enroll me or communicate with Stratton Healthcare on my behalf.
NOTICE: BY SIGNING THIS CONTRACT YOU ARE AGREEING TO HAVE ANY ISSUE OF MEDICAL MALPRACTICE DECIDED BY NEUTRAL ARBITRATION AND YOU ARE GIVING UP YOUR RIGHT TO A JURY OR COURT TRIAL. SEE ARTICLE 1 OF THIS CONTRACT.