Early Intervention Program

Arrange My SEND Mediation

Important Information

Thank you speaking to the team previously and agreeing to create additional opportunity to engage in SEND Mediation with the Local Authority following your previous request for a Mediation Awareness Certificate.


When completing the below form, please note the fields marked with an asterisk * must be completed.


If you experience any difficulties using the form below, please use the contact page here. Please note, all correspondence and voicemails will be responded to within 3 working days.


Please note- In-line with SEND First-tier Tribunal hearings through Her Majesty’s Courts and Tribunals Service, all mediations for the foreseeable future will be ‘remote mediations’ via our Connect Mediation platform.

Start Your SEND Mediation Request Using The Form Below


You can obtain support to complete the below referral form

through school, SENDIASS or anyone of your choice.


The contact details for your local SENDIASS service were contained in the decision notification from the Local Authority that confirmed your right of appeal, or you find your local SENDIASS service here.

SEND EIP Mediation Request Form

* Please note, if the young person is over compulsory school age, we will also require a signed letter of consent explaining they are happy for you to manage the appeal process on their behalf. An example of the consent letter can be found here


Agreement to Personal Data Processing


Please select your options in relation to School Participation in the mediation process, as a duty holder in law *

** Where the parties cannot agree on attendees of a mediation session, the mediator will determine attendees (SEND Regs 2014 38(1)(e))





This section is only in relation to any needs or disabilities you may have that may require reasonable adjustments to our service