Apply for an intake

You can apply for an intake for yourself or for a relative, like your partner or child. 

An intake is a no-strings-attached conversation with a mediator. In this conversation, you will discuss with the mediator what you can expect, what you want, and what is possible. 

Some questions are mandatory. They are indicated with an * (asterisk).

Step 1 Who are you?

We're asking for your personal information.

  • By asking your address, we can find a mediator that works nearby you.
  • By asking your phone number and email address, we can call or email you to make an appointment.
  • By asking your date of birth, ew can see if you are underage. In that case, you and the mediator will discuss whether and how to involve your parents in the mediation.
Read the General Terms of Service.