I-8, r. 17 - Regulation respecting the procedure for conciliation and arbitration of accounts of nurses

Schedule Disposition versions

2016-01-01

SCHEDULE 2

(s. 3.01.01)

SUBMISSION TO ARBITRATION

Entered into by: __________(name and address)__________ in person of (where applicable) representing ______________________________ for the purposes of this submission, as attested by the authorization annexed hereto, hereinafter referred to as “the client”,

AND

__________(name and address)__________ member of the Ordre des infirmières et infirmiers du Québec, hereinafter referred to as “nursing professional”,

who make the following declarations and agreements.

(1) The nursing professional claims from the client the sum of ______________________________ for professional services rendered between ______________________________ and ______________________________ as attested by the account a copy of which is annexed hereto;

(2) The client refuses to pay this account for the following reasons(s):

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---

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but (where applicable) the client acknowledges that he owes the sum of ______________________________ for the professional services referred to in such account;

(3) The dispute between the parties bears on the entire account or (where applicable) on that part of the account which exceeds that which the client acknowledges to owe to the nursing professional, namely, the sum of ______________________________;

(4) The dispute between the parties will be settled by arbitration held in accordance with Division III of the Regulation respecting the procedure for conciliation and arbitration of accounts of nurses (chapter I-8, r. 17) of which the parties declare having received a copy and taken cognizance;

(5) The nursing professional undertakes, for the duration of the arbitration, not to claim before civil courts that part of the account which is the subject of the dispute;

(6) The client renounces to the benefit of any time elapsed with respect to prescription;

(7) The arbitration award is binding upon the parties and the rules set forth in Title II of Book VII of the Code of Civil Procedure (chapter C-25.01) shall apply to its enforcement;

(8) This submission may only be annulled with the written consent of the parties.

Signed at _____________________________ this ______________________________ 20 __________

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(signature of client or his duly authorized representative)

Signed at _____________________________ this ______________________________ 20 __________

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(signature of professional)

R.R.Q., 1981, c. I-8, r. 10, Sch. 2; I.N. 2016-01-01 (NCCP).

2012-09-01

SCHEDULE 2

(s. 3.01.01)

SUBMISSION TO ARBITRATION

Entered into by: __________(name and address)__________ in person of (where applicable) representing ______________________________ for the purposes of this submission, as attested by the authorization annexed hereto, hereinafter referred to as “the client”,

AND

__________(name and address)__________ member of the Ordre des infirmières et infirmiers du Québec, hereinafter referred to as “nursing professional”,

who make the following declarations and agreements.

(1) The nursing professional claims from the client the sum of ______________________________ for professional services rendered between ______________________________ and ______________________________ as attested by the account a copy of which is annexed hereto;

(2) The client refuses to pay this account for the following reasons(s):

---

---

---

but (where applicable) the client acknowledges that he owes the sum of ______________________________ for the professional services referred to in such account;

(3) The dispute between the parties bears on the entire account or (where applicable) on that part of the account which exceeds that which the client acknowledges to owe to the nursing professional, namely, the sum of ______________________________;

(4) The dispute between the parties will be settled by arbitration held in accordance with Division III of the Regulation respecting the procedure for conciliation and arbitration of accounts of nurses (chapter I-8, r. 17) of which the parties declare having received a copy and taken cognizance;

(5) The nursing professional undertakes, for the duration of the arbitration, not to claim before civil courts that part of the account which is the subject of the dispute;

(6) The client renounces to the benefit of any time elapsed with respect to prescription;

(7) The arbitration award is binding upon the parties and the rules set forth in Book VII of the Code of Civil Procedure (chapter C-25) shall apply to its enforcement;

(8) This submission may only be annulled with the written consent of the parties.

Signed at _____________________________ this ______________________________ 20 __________

---

(signature of client or his duly authorized representative)

Signed at _____________________________ this ______________________________ 20 __________

---

(signature of professional)

R.R.Q., 1981, c. I-8, r. 10, Sch. 2.