THE Mediation Specialists for the East Midlands

Refer Now

It is easy to make a referral to Midlands Mediation.

Step 1 – Select the correct referral form by clicking on the relevant 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!

Family Referrals

REFER YOURSELF. If you wish to refer yourself to mediation or for an assessment, please download this form: REQUEST FOR A MEDIATION ASSESSMENT MEETING
REFER YOUR CLIENT. If you wish to refer your client to us for mediation assessment, please download this form: REQUEST FOR A MEDIATION ASSESSMENT MEETING

Civil Referrals

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

Workplace Referrals

Please download the Workplace Referral form here: WORKPLACE MEDIATION REFERRAL FORM (2011)

We will confirm receipt and contact the parties involved to make appropriate arrangements.

Complete it, and send it back to us below:

Your Name (required)

Your Email (required)

Type of referral you are sending
 Family Civil Workplace

Attach completed form

Additional Comments

For more information, or to arrange an appointment with an expert mediation specialist, call 01623 706020 or email enquiries@midlandsdove.co.uk.

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