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01737 919675

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Dispute Resolution Separated Parent
Information Programme
Referral Form

Please complete the form below, or download the pdf.

 Married to childs/childrens parent Separated Never together In the process of separating


 Yes No

Our service will be in touch to ask you number of questions about your present circumstances and to ensure
that the programme is suitable for you and your former partner. These questions can be found in the Parenting
Plan booklet at

You can also download the pdf here.

N.B – Please make sure you have read our cancellation policy.

  • Family disputes that are resolved through mediation are cheaper, quicker and according to academic research, less acrimonious than those that are settled through the courts."

    National Audit Office 2/3/07