Professional Referral

A. Palmer Associates are perfectly positioned to take referrals for issues including conflict resolution, children or divorce therapy. We work in a professional manner under the Family Mediators Codes of Practice and the British association of Counsellors and Psychotherapists Ethical Framework for Good Practice with Solicitors clients. We will inform the parties relevant legal representatives when mediation or conflict therapy has started and when we have recommended the clients seek legal advice at any point during the mediation process.

Please complete all details below and we will contact you once received.

Referral under:

Section 29 (funding code/CLS APP7 & FM1 required if unsuitable/unsuccessful)

Pre–Application Protocol (Private Client/FM1 required in unsuitable/unsuccessful)

Both parties in divorce proceedings (external conflict resolution) to return to solicitors

Individual Divorce therapy

Your Client:

Full Name (*required)

Address (*required)

Contact number (*required)

Your Email (*required)

Date of Birth - example* YYYY-MM-DD

Referrer’s Solicitor Name: (*required)

Referrer’s Solicitor Firm: (*required)

Referrer’s Solicitor Contact Details: (*required)

Is the party aware fo referral?.

Has CAFCASS or any other relevant agency been involved either now or previously?.
NoYesDon't Know

Additional relevant background information i.e. medical conditions and/or disability.