THE Mediation Specialists for the East Midlands

Civil Mediation Referral

It is easy to make a referral to Midlands Mediation.

Step 1 – Select the referral form by clicking on the link below

Step 2 – Complete the form and save a copy for your own records

Step 3 – Attach and send it to us using the facility below

Step 4 – Let us do the rest!

Please download the Civil Referral form here: CIVIL MEDIATION REFERRAL FORM (2011)

Complete it, and send it back to us below:

Your Name (required)

Your Email (required)

Attach completed form

Additional Comments

Alternatively, for more information, or to arrange an appointment with an expert mediation specialist, call 01623 706020 or email