Pennsylvania Code
Title 37 - LAW
Part III - Agencies and Offices
Subpart H - Arbitration Panels for Health Care
Chapter 171 - RULES OF PRACTICE AND PROCEDURE
FORMS
Section 171.154 - Form for request for conciliation conference

Universal Citation: 37 PA Code ยง 171.154
Current through Register Vol. 54, No. 44, November 2, 2024

The following is the form for request for conciliation conference:

COMMONWEALTH OF

PENNSYLVANIA

ARBITRATION PANELS FOR

HEALTH CARE

:

:

No.

vs.

:

:

County:

:

(Form of action)

REQUEST FOR CONCILIATION CONFERENCE BY (Party's name and designation)

Please schedule a conciliation conference in the above case. I suggest the following possible dates, times, city and conference or court room for the conference.

The following motions, interrogatories, depositions, or other matters remain outstanding and must be completed prior to an arbitration hearing:

Of the above listed matters, the following must and are scheduled to be completed before the conciliation conference is held:

I certify that copies of this Request were sent to all other parties or their counsel by personal service or regular mail.

______________

______________

Date

(Signature of counsel, or party if none)

______________

______________

(Name of party represented)

(Printed name)

This section cited in 37 Pa. Code § 171.61 (relating to conciliation conference).

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