Professional Referral Form

Client Name

Client Telephone Number

Client Email

Client Location

Professional Referrer Name

Professional Referrer Telephone Number

Professional Referrer Email

Brief summary of situation/dispute

Please complete the referral form. We will get back to you the same day.

Step 1 We will acknowledge safe receipt the same day

Step 2 A mediator is assigned and will contact your client within 12 hours

Step 3 The mediator will arrange to meet your client within 7 days

Step 4 The mediator will keep you informed of meeting dates

Our mediators will work with you to ensure that your clients receive the right help, support and advice at the time they most need it.

Thank you for your referral.

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