Knowledgable neutral. Highly credentialed mediator, arbitrator and facilitator.
The neutral resolution of healthcare conflicts and disputes, serving physicians, hospitals and patients.
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Get Started

Please fill out the form below to begin the process of resolving your dispute.

Fees are negotiated between participants and mediators.

Your basic information.

Asterisk * indicates required information.

* First name  
* Last name
Phone
* Email
Business name if applicable

The other party's basic information.

Asterisk * indicates required information

* First name, other party  
* Last name, other party
Phone, other party
* Email, other party
Business name if applicable
If there are other parties involved in this dispute, list their emails addresses, one per line

The dispute details.

Asterisk * indicates required information.

Nature of the dispute  
Date the dispute began
Approximate value of
disputed items

* Subject of dispute
* What do you and the other
party disagree about?

What has happened so far
(phone calls, emails, etc.)?

* What do you want
to get from this mediation?

Anything else helpful for
a mediator to know?