SANDRA MARSHALL FAMILY MEDIATION SERVICES

Legal Information | Impartial Guidance | Consensual Resolution

Sandra Marshall Family Mediation

Referral Form

Please complete the form below as fully as possible. If you would prefer to print and complete by hand a PDF version of this form is available here.

Your Details:

Full name:
Address:
Town:
County:
Postcode:
Telephone:
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Mobile:
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Email:

Your Partner/Spouse:

Parnter/spouse fullname:
Partner/spouse address:
Partner/spouse town:
Partner/spouse county
Partner/spouse postcode:

Please indicate which of the following services you require:

Please select one or more:

If you are a solicitor referring for mediation services please provide the following:

Your name:
Name of firm:
Contact number:
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Contact email:
MIAMs required?
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"You were extremely fair and enabled us to broach challenging subjects that would have been almost impossible for us to resolve alone between the two of us.  Having someone impartial with expert knowledge of the law was invaluable."

Mediation is voluntaryMediation is voluntary

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ConfidentialMediation is confidential

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ImpartialA mediator is impartial

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DecisionsDecisions are made by you

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