OATH OF OFFICE AND DISCRETION
I declare under oath that I will discharge all the duties and exercise all the powers of arbitrator faithfully, impartially and honestly, to the best of my ability and knowledge.
I also declare under oath that I will not disclose or make known, unless authorized by law, anything that may come to my knowledge in the performance of my duties and the exercise of my powers.
Oath taken before
(signature of arbitrator) (name and function, profession, or capacity)
on _____________________________________ at ______________ on ________________
(date) (place) (date)
(signature of patient) (signature)