Pre-MIAM form - The Mediation Hub

Thank you - Your MIAM is confirmed

Your 1-1 intake meeting with The Mediation Hub is now booked. You’ll also receive a payment receipt by email.

Please take a few minutes to complete the short form below so we have the information we need ahead of your meeting.
If you experience any difficulty please contact hello@themediationhub.com and we’ll be happy to help.

Pre-MIAM form – please complete 📝

Your full name

Your email address

Your phone number (without spaces)

Full name of the other person involved

If you are attending a MIAM first, please provide the other person's email address

If you are attending a MIAM first, please provide the other person's phone number (without spaces)

Your relationship to the other person

If other, please specify

If you have separated, when did this happen (approximately)?

Do you have any children together, or any children living with you? If yes, please include names, ages, and their relationship to you.

What are your current living arrangements?

What issues or decisions would you like support with at this stage?

Are children’s services (social services) currently involved with your family?

Are there any court proceedings, orders, undertakings, deadlines, or urgent concerns we should be aware of?

Are you currently represented or receiving advice from a solicitor?