Referrals

We accept referrals from clients direct or from other professionals, most usually solicitors.

We require a completed Mediation Form prior to starting the first session.

Your Client
Client Name *
Address
Date of Birth
Email
Home Tel
Mobile
Partner's Information
Name
Address
Date of Birth
Email
Home Tel
Mobile
Children Information
Name
Age
Name
Age
Name
Age
Name
Age
Your Firm's Information
Name
Address
Email
Telephone
Ref Number
What are the likely issues? ChildrenFinance and PropertyAll Issues
Does your client's partner have a solicitor? YesNo
Solicitor Information
Name
Address
Email
Telephone
Ref Number
Do you consider your client is eligible for public funding? YesNo
Is this a referral for a Mediation Information and Assessment Meeting (MIAM)? YesNo

We can offer legal aid in all of our outposts as we have a legal aid contract and all our mediators are accredited. If you think you might qualify for legal aid then please give us a call and we will let you know what evidence you need to produce.

  • £100 for a Separate MIAM
  • £150 split equally for a Joint MIAM
  • £126 per hour, per person for a mediation session

Are you aware of any issues of domestic abuse which might affect the suitability of mediation? If you are, it is very important you give brief details below. YesNo