Weaver, J.
Defendant Parviz K. Amid, M.D., an independent staff physician for defendant Sinai Hospital of Detroit, appeals by leave granted from the Wayne Circuit Court’s denial of his motion to compel arbitration. We reverse.
This medical malpractice suit arose out of events in connection with the removal of a melanoma from Dorothy Marciniak (hereafter plaintiff). On September 30, 1980, Dr. Amid performed an excision in order to remove the melanoma; in November of 1980, Dr. Amid concluded that the melanoma’s spread also required removal of plaintiff’s lymph nodes. When plaintiff was admitted to Sinai Hospital on December 3, 1980, she signed a hospi
tal-patient artibration form. The agreement stated in pertinent part:
I understand that this hospital and I by signing this document agree to arbitrate any claims or disputes (except for disputes over charges for services rendered) which may arise in the future out of or in connection with the health care rendered to me during this hospital stay and/or emergency room visit by this hospital, its employees and those of its independent staff doctors and consultants who have agreed to arbitrate.
... I freely choose arbitration. . . .
I understand that this agreement to arbitrate is binding on me . . ., as well as on this hospital, its employees and those of its independent staff doctors, and consultants who have agreed to arbitrate.
Dr. Amid was an independent staff doctor who, unknown to plaintiff, had previously agreed to arbitration.
On December
4,
1980, Dr. Amid performed surgery on plaintiff.
On April 1, 1983, plaintiff and her husband filed a complaint against Sinai Hospital, two of the hospital’s staff doctors and Dr. Amid, alleging that
the surgery was unnecessary and resulted in her pain, suffering and subsequent corrective surgery. The trial court granted the motion of Sinai Hospital, pursuant to GCR 1963, 769, now MCR 3.602, to compel arbitration as to the hospital and its two staff doctors, but denied a similar motion filed by Dr. Amid. We granted Dr. Amid’s application for leave to appeal.
On appeal, Dr. Amid argues that plaintiff was bound by her agreement to arbitrate not only claims against the hospital and its staff, but also claims against independent staff physicians such as himself who had previously agreed to arbitrate.
We agree. The Michigan Malpractice Arbitration Act (mmaa), MCL 600.5040
et seq.;
MSA 27A.5040
et seq.,
applies to
the arbitration of a dispute, controversy, or issue arising out of or resulting from injury to, or the death of, a person caused by an error, omission, or negligence in the performance of professional services by a health care provider, hospital, or their agent. . . . [MCL 600.5040(1); MSA 27A.5040(1).]
The term "health care provider” includes an independent staff physician. See MCL 600.5040(2)(b); MSA 27A.5040(2)(b). The mmaa describes both an agreement with a hospital and an agreement with a health care provider who is not an employee of the hospital. MCL 600.5042(1); MSA 27A.5042(1); MCL 600.5041(1); MSA 27A.5041(1). The mmaa further provides:
Notwithstanding the continuing existence of a health care provider-patient arbitration agreement
all surgical and medical procedures performed by a participating health care provider in a hospital shall be covered by the terms and conditions applicable to the agreement between the patient and
the hospital.
Post-discharge treatment in the health care provider’s office subsequent to discharge from such institution will be governed by the terms of any existing health care provider-patient arbitration agreement. [MCL 600.5042(5); MSA 27A.5042(5).]
A trial court’s finding that an issue is or is not arbitrable will be reversed on appeal only if it is clearly erroneous. See MCR 2.613(C);
Ferndale Ed Ass’n v Ferndale School Dist #2,
67 Mich App 645, 649; 242 NW2d 481 (1976). However, because the mmaa evidences Michigan’s strong public policy favoring arbitration, arbitration clauses should be liberally construed to resolve all doubts in favor of arbitration.
DAIIE v Reck,
90 Mich App 286, 289-290; 282 NW2d 292 (1979), lv den 407 Mich 870 (1979). The burden of establishing the existence of an arbitration agreement that conforms to the strict requirements of the mmaa rests with the party seeking to enforce the agreement; once prima facie evidence of such an agreement has been presented, the statutory presumption of its validity accrues and the burden of going forward with evidence to rebut the presumption then shifts to the party seeking to avoid the agreement.
McKinstry v Valley Obstetrics-Gynecology Clinic, PC,
428 Mich 167, 173; 405 NW2d 88 (1987).
Here, Dr. Amid established the existence of an arbitration agreement conforming to the requirements of the mmaa, thereby creating a presumption of its validity. Unless plaintiff can rebut this presumption, therefore, the trial court’s finding of nonarbitrability was clearly erroneous.
Hospital arbitration agreements like the one here at issue have been held to simultaneously apply to independent staff doctors who sign arbitration agreements with the hospital.
Kukowski v Piskin,
99 Mich App 1, 4; 297 NW2d 612 (1980), aff'd by an equally divided court 415 Mich 31; 327
NW2d 832 (1982), reh den 417 Mich 1103 (1983).
This is because § 5042(5) of the mmaa unatnbiguously extends the agreement between hospital and patient to participating health care providers for procedures they perform in the hospital. 415 Mich 39 (opinion of Coleman, J.). Accord,
Brown v Considine,
108 Mich App 504, 510; 310 NW2d 441 (1981);
Belobradich v Sarnsethsiri,
131 Mich App 241, 243-244; 346 NW2d 83 (1983);
Harte v Sinai Hosp of Detroit,
144 Mich App 659, 664-665; 375 NW2d 782 (1985).
In this case, plaintiff voluntarily signed the agreement. The agreement stated her free choice of arbitration and her understanding that any future claims arising from her hospital care would extend to the hospital, its employees, and "those of its independent staff doctors and consultants who have agreed to arbitrate.” Dr. Amid was an independent staff doctor who had signed an agreement with the hospital to arbitrate. Whether plaintiff did or did not know of Dr. Amid’s agreement with the hospital is of no consequence. What matters is that plaintiff freely chose to sign the hospital arbitration agreement and that the agreement unambiguously extended to independent staff doctors.
Kukowski, supra,
99 Mich App 4._
Plaintiff further argues that the trial court reached the right result in denying Dr. Amid’s motion to compel arbitration, because her malpractice claim arose before her entry into the hospital.
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Weaver, J.
Defendant Parviz K. Amid, M.D., an independent staff physician for defendant Sinai Hospital of Detroit, appeals by leave granted from the Wayne Circuit Court’s denial of his motion to compel arbitration. We reverse.
This medical malpractice suit arose out of events in connection with the removal of a melanoma from Dorothy Marciniak (hereafter plaintiff). On September 30, 1980, Dr. Amid performed an excision in order to remove the melanoma; in November of 1980, Dr. Amid concluded that the melanoma’s spread also required removal of plaintiff’s lymph nodes. When plaintiff was admitted to Sinai Hospital on December 3, 1980, she signed a hospi
tal-patient artibration form. The agreement stated in pertinent part:
I understand that this hospital and I by signing this document agree to arbitrate any claims or disputes (except for disputes over charges for services rendered) which may arise in the future out of or in connection with the health care rendered to me during this hospital stay and/or emergency room visit by this hospital, its employees and those of its independent staff doctors and consultants who have agreed to arbitrate.
... I freely choose arbitration. . . .
I understand that this agreement to arbitrate is binding on me . . ., as well as on this hospital, its employees and those of its independent staff doctors, and consultants who have agreed to arbitrate.
Dr. Amid was an independent staff doctor who, unknown to plaintiff, had previously agreed to arbitration.
On December
4,
1980, Dr. Amid performed surgery on plaintiff.
On April 1, 1983, plaintiff and her husband filed a complaint against Sinai Hospital, two of the hospital’s staff doctors and Dr. Amid, alleging that
the surgery was unnecessary and resulted in her pain, suffering and subsequent corrective surgery. The trial court granted the motion of Sinai Hospital, pursuant to GCR 1963, 769, now MCR 3.602, to compel arbitration as to the hospital and its two staff doctors, but denied a similar motion filed by Dr. Amid. We granted Dr. Amid’s application for leave to appeal.
On appeal, Dr. Amid argues that plaintiff was bound by her agreement to arbitrate not only claims against the hospital and its staff, but also claims against independent staff physicians such as himself who had previously agreed to arbitrate.
We agree. The Michigan Malpractice Arbitration Act (mmaa), MCL 600.5040
et seq.;
MSA 27A.5040
et seq.,
applies to
the arbitration of a dispute, controversy, or issue arising out of or resulting from injury to, or the death of, a person caused by an error, omission, or negligence in the performance of professional services by a health care provider, hospital, or their agent. . . . [MCL 600.5040(1); MSA 27A.5040(1).]
The term "health care provider” includes an independent staff physician. See MCL 600.5040(2)(b); MSA 27A.5040(2)(b). The mmaa describes both an agreement with a hospital and an agreement with a health care provider who is not an employee of the hospital. MCL 600.5042(1); MSA 27A.5042(1); MCL 600.5041(1); MSA 27A.5041(1). The mmaa further provides:
Notwithstanding the continuing existence of a health care provider-patient arbitration agreement
all surgical and medical procedures performed by a participating health care provider in a hospital shall be covered by the terms and conditions applicable to the agreement between the patient and
the hospital.
Post-discharge treatment in the health care provider’s office subsequent to discharge from such institution will be governed by the terms of any existing health care provider-patient arbitration agreement. [MCL 600.5042(5); MSA 27A.5042(5).]
A trial court’s finding that an issue is or is not arbitrable will be reversed on appeal only if it is clearly erroneous. See MCR 2.613(C);
Ferndale Ed Ass’n v Ferndale School Dist #2,
67 Mich App 645, 649; 242 NW2d 481 (1976). However, because the mmaa evidences Michigan’s strong public policy favoring arbitration, arbitration clauses should be liberally construed to resolve all doubts in favor of arbitration.
DAIIE v Reck,
90 Mich App 286, 289-290; 282 NW2d 292 (1979), lv den 407 Mich 870 (1979). The burden of establishing the existence of an arbitration agreement that conforms to the strict requirements of the mmaa rests with the party seeking to enforce the agreement; once prima facie evidence of such an agreement has been presented, the statutory presumption of its validity accrues and the burden of going forward with evidence to rebut the presumption then shifts to the party seeking to avoid the agreement.
McKinstry v Valley Obstetrics-Gynecology Clinic, PC,
428 Mich 167, 173; 405 NW2d 88 (1987).
Here, Dr. Amid established the existence of an arbitration agreement conforming to the requirements of the mmaa, thereby creating a presumption of its validity. Unless plaintiff can rebut this presumption, therefore, the trial court’s finding of nonarbitrability was clearly erroneous.
Hospital arbitration agreements like the one here at issue have been held to simultaneously apply to independent staff doctors who sign arbitration agreements with the hospital.
Kukowski v Piskin,
99 Mich App 1, 4; 297 NW2d 612 (1980), aff'd by an equally divided court 415 Mich 31; 327
NW2d 832 (1982), reh den 417 Mich 1103 (1983).
This is because § 5042(5) of the mmaa unatnbiguously extends the agreement between hospital and patient to participating health care providers for procedures they perform in the hospital. 415 Mich 39 (opinion of Coleman, J.). Accord,
Brown v Considine,
108 Mich App 504, 510; 310 NW2d 441 (1981);
Belobradich v Sarnsethsiri,
131 Mich App 241, 243-244; 346 NW2d 83 (1983);
Harte v Sinai Hosp of Detroit,
144 Mich App 659, 664-665; 375 NW2d 782 (1985).
In this case, plaintiff voluntarily signed the agreement. The agreement stated her free choice of arbitration and her understanding that any future claims arising from her hospital care would extend to the hospital, its employees, and "those of its independent staff doctors and consultants who have agreed to arbitrate.” Dr. Amid was an independent staff doctor who had signed an agreement with the hospital to arbitrate. Whether plaintiff did or did not know of Dr. Amid’s agreement with the hospital is of no consequence. What matters is that plaintiff freely chose to sign the hospital arbitration agreement and that the agreement unambiguously extended to independent staff doctors.
Kukowski, supra,
99 Mich App 4._
Plaintiff further argues that the trial court reached the right result in denying Dr. Amid’s motion to compel arbitration, because her malpractice claim arose before her entry into the hospital.
This argument is without merit. Plaintiff, in the same suit, has attempted to recover from the hospital and two staff doctors for damages identical to those asserted against Dr. Amid. As such, the damages which plaintiff seeks from Dr. Amid involve the same damages as, and are inextricable from, her arbitrable claims. See
Harte,
supra. at 665.
The abitration requirement, as to the hospital and the two staff doctors, does not magically transform one suit for the same damages into two suits for different damages. The recovery which plaintiff seeks arises in connection with her surgery which was performed on December 4, 1980, at Sinai Hospital. She filed her complaint on April 19, 1985, alleging medical malpractice in connection with the operation performed on December 4, 1980, at Sinai Hospital. Therefore her complaint is one arising "in the future out of or in connection with the health care rendered . . . during [her] hospital stay . . . .”
In conclusion, the trial court’s denial of Dr. Amid’s motion to compel arbitration was clearly erroneous. Plaintiff did not rebut the presumption, established by Dr. Amid, of a valid arbitration agreement conforming to the strict requirements of the mmaa. By voluntarily signing the hospital
arbitration agreement, plaintiff unambiguously consented to arbitrate any claims arising from her surgery performed at Sinai Hospital on December 4, 1980, against Dr. Amid, an independent staff doctor. The agreement was binding, and may not be circumvented by an assertion that her malpractice claim arose before her entry into the hospital.
Reversed.