Mediation Intake

Start Your Mediation Inquiry

Please complete this form to help Cornerstone Mediation Services understand the nature of your inquiry. This form is for initial inquiry and intake purposes only. Completing it does not create a mediator-client relationship, confirm that mediation will take place, or replace the need for a consultation.

Your details

Full name

Email address

Phone number

County / location

Preferred contact method

About the mediation

Type of mediation required

Preferred format

Are all parties aware you are seeking mediation?

Are all parties willing to consider mediation?

Name(s) of other party / parties involved

Brief summary of the issue

What would you like mediation to help with?

Timing and background

Any upcoming deadlines, hearings, meetings, or important dates?

Has any legal action already started?

Anything else Dr. Akingbemi should know at this stage?

I understand that this form is for inquiry/intake purposes only and does not create a mediator-client relationship. I understand that I should not include urgent, highly sensitive, or confidential legal information in this form.