ADR provides a means to settle legal disputes for civil, family, and probate matters outside of the courtroom in a more collaborative environment. Arbitration is not mandated but is permitted.Insurance for medical malpractice may not be conditioned on arbitration clauses. In 2009, Arizona passed a law to make it more difficult to bring malpractice suits against emergency room physicians. Award: The final written determination of the Arbitrator(s) in a Fee Dispute. 5. Client: Any party who enters into an agreement with a Lawyer for legal services. Moreover, the patients must be informed, in clear language, what the arbitration agreement means and what effect it has on the patient's ability to litigate. Much Ado about Nothing? Ann H. Nevers, J.D., L.L.M. (Health Law).