Request a mediation meeting

Contact us on 020 8315 7460 for a confidential discussion
to see how we can best help you.

Request a mediation information & assessment meeting (MIAM)

To request an appointment please complete and submit the following form.

Your contact will be dealt with in strict confidence.

Please note, we do not contact the other party without your permission.

Click here to check if you are eligible for legal aid

Check Legal Aid

If you are not eligible for legal aid the following fees listed here apply.

If you need additional information before completing this form, please call us on 020 8315 7460/020 3824 4780.

About You


First Name

Last Name

Date of Birth

Your Address

About The Other Person


First Name

Last Name

Date of Birth

Their Address

Issues for Mediation

Please indicate all that apply.

Reasons for Mediation
Contact Residence of childrenParental ResponsibilityFinance / PropertyOther (please detail)

Would you like an individual first appointment with the mediator or one jointly with the other person?

Do we have your permission to contact the other person now?

Please indicate availability:

How did you hear about us?

Do you wish to make an application for Legal Aid? Click here to check if you are eligible for legal aid.

I consent to having this website store my submitted information so they can respond to my inquiry.


COVID-19 & Appointments

In light of recent Coronavirus developments SELFMB are offering clients the opportunity to book a MIAM appointment by Zoom, as an alternative to a face-to-face meeting, or to change an existing MIAM appointment to a Zoom appointment. Zoom is a video meeting App which you can download for free onto your phone/laptop or other device. Find out more here.

In some cases we will also be offering mediations by Zoom. We would usually conduct mediations in person, however mediation by video meeting is a recognised approach, approved by the FMC (Family Mediation Council). With the increased risk of Coronavirus we are looking at how we can continue to provide services to clients whilst reducing the risk to clients and staff.

Please call on 020 8315 7460 if you have any questions or would like to arrange an appointment or request to change an appointment to Zoom.