Request a Mediation Appointment

The first step toward resolving your divorce and parenting issues is to request a mediation appointment. Either fill out and submit this form or call 603.654.5000. The best times to call are 10:00 am to 3:00 pm, Monday to Thursday, but if I am unavailable, please leave a message.

Family Mediation of NH offers 2 types of first appointments: Information Session - $45 for 30 minutes and Working Session - $170 hour.

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  • Find out how mediation works and how it could help you.
  • Review the mediation process.
  • Determine what issues need to be mediated.
  • Get started on working them out.

In requesting an appointment, you agree to the following:

  • We understand that the purpose of mediation is to work out an agreement that will resolve our issues. We have one or more issues to work out and are seeking the assistance of Family Mediation of NH to do so.
  • We understand that the fee must be paid in cash or check, at the beginning of the session.


Family Mediation of NH needs information on both spouses, parents, or other people seeking mediation.

Your Information

The Other Party's Information



b. How many children do you have with this spouse or other person who are under the age of 11?

How many children do you have with this spouse or other person who are between 11 and 18 years of age?


What times are both of you generally available for mediation? Please list specific days of the week for the specified times. (Example – Wednesday mornings and Thursdays 3:00 pm or later.)

If you have questions about filling out this form, or about fees, call 603.654.5000.

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