CEDR Member
Benefits in this section:
  • 5% discount on Select mediation service
  • Free employment management dispute service

Clinical Negligence Mediation Scheme

Use this form to refer a case via our secure server or, if you prefer, print this form and send to us by fax.

From:
* Name
* Firm
* Phone
* E-mail
Claimant:
Name
Law firm
Contact
Defendant:
Name
Insurer
Law firm
Contact
1. Agreed venue for the mediation:
Venue
City/Town
2. Dispute description:
Description
Tick item(s) in dispute Liability
Causation
Quantum
3. Amount in dispute:
£
4. Dates available to both parties for mediation:
 
5. Mediation required:
  Eight-hour mediation
Four-hour mediation
6. Any other information: (e.g. Court timetable)
 
7. How did you hear about the scheme?
 

Alternatively print this form and fax it to:
Baria Ahmed
CEDR Solve
Fax: +44 (0) 20 7536 6061
E-mail: bahmed@cedr-solve.com


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