Family Mediation – Self Referral

You don’t have to wait for a Solicitor to refer you for Family Mediation.

Simply complete our self-referral form and we will call you back to discuss how Family Mediation can work for you.

About You

About your former partner

You don't have to provide full details of your former partner now, but we will need their details so that we can check we don't already act for them, as well as to proceed with starting family mediation.


Do you have children?

You don't have to provide full details of your children now, but your Family Mediator will need their details before the process starts. You can provide their names and ages in the space below.

Finances and Property

Are you interested in using family mediation to help you resolve disputes about shared property and finances?

Your Solicitors

If you have already instructed a family law solicitor to help you with your divorce or separation, we will need their details. You don't have to complete this information now.

If your former partner has already instructed a family law solicitor, please complete their details below. If you don't have these details to hand, you don't have to provide these details now.

Getting in touch with you and your former partner

We will contact you as soon as possible after you submit this form

Can we also contact your former partner?

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