Schedule a consultation | Strategic Mediation Solutions

Your information

Legal first name *

Legal last name *

Preferred name

Email *

Mobile phone *

Spouse information

We always record both spouses. This does not invite anyone unless you select the invite option below.

Legal first name *

Legal last name *

Preferred name

Mobile phone

Invite second spouse to the consultation

If selected, we will add your spouse to the consultation invitation after you choose a time.

Consultation Details

How did you hear about us?

Do you have children together?

Number of children

Children's ages

Anything else you would like us to know?

Text message consent (optional)

Yes, text me. Strategic Mediation Solutions may send non-marketing text messages to the mobile number above about scheduling, reminders, document requests, case updates, and replies to my questions. Message frequency varies (typically 2-4 messages per month). Message and data rates may apply. Reply HELP for help and STOP to opt out. Consent is optional and is not required to submit this form, schedule, or receive services. See our SMS Terms and Privacy Policy.

We use this information to create your intake record. Portal access and invitations are handled separately.