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Request a Dispute Resolver List


Please download, complete, and return the form below to request a list of arbitrators and/or mediators from AHLA's Alternative Dispute Resolution Service.

ADR Fillable Request For Dispute Resolver List Form.pdf

This form includes the Request for Dispute Resolver List for the ADR Service and schedule of administration fees. Please note new rates effective August 1, 2010.

Please forward this form, along with payment and all necessary documentation, to:

Carine Brice, ADR Administrator
Alternative Dispute Resolution (ADR) Service
American Health Lawyers Association 
1620 Eye Street, N.W.
6th Floor
Washington, DC 20006-4010

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