Texas courts strongly favor enforcing arbitration agreements or contractual clauses requiring arbitration. Mediators must complete at least 40hours of training in dispute resolution techniques.How do I choose arbitration? All parties must agree to arbitration and complete and sign DWC Form-044, Election to Engage in Arbitration. Arbitration is a alternative dispute resolution (ADR) in which an arbitrator renders a decision to resolve a dispute between parties. These contracts may be an attractive concept to physicians, but those who use them must have an understanding of federal and state law. Physicians typically have written agreements that can be worth hundreds of thousands, if not millions, of dollars. More doctors are making patients sign "binding arbitration" clauses. Here's what they mean and what to know if you encounter one. While you should consult with an attorney about specific provisions, here are some frequently asked questions about arbitration agreements.