Governing Law and Jurisdiction Agreement for Physician in Private Practice (海外病人填写表格)

Governing Law and Jurisdiction Agreement for Physician in Private Practice (海外病人填写表格)
Please enter English, please do not enter any Chinese character.

请输入英文，请不要输入中文。
Patient's name 病人名字

First NameLast Name
Physician in private practice 医生名字

First NameLast Name
This agreement is entered into by and between {patientsName94} and {physicianIn} collectively, the parties

Governing law

The Parties hereby agree that:

a. All aspects of the relationship between {patientsName94} and {physicianIn} as well as her/his agents, delegates, employees, and any physicians and other independent healthcare practitioners providing medical or other healthcare and treatment to {patientsName94} or in association with {physicianIn} including without limitation any medical or other healthcare and treatment provided to {patientsName94} and

b. The resolution of any and all disputes arising from or in connection with that relationship, including any disputes arising under or in connection with this agreement,

Shall be governed by and construed in accordance with the laws of the province or territory of BC (other than conflict of laws rules) and the laws of Canada applicable therein

Exclusive Jurisdiction
The parties hereby acknowledge that the medical or other healthcare and treatment received by {patientsName94} from {physicianIn} will be provided in the province of territory of BC, and that the Courts of BC Shall have exclusive jurisdiction to hear any complaint, demand, claim, proceeding or cause of action, whatsoever arising from or in connection with that medical or other healthcare and treatment, or from any other aspect of the relationship between {patientsName94} and {physicianIn}
Date

MonthDayYear
Month-Date-Year
Name of patient 病人名字

First NameLast Name
Signature of patient

Clear
Should be Empty: