Intake Form

Intake Form

Information Form

The purpose of an initial consultation is for the attorney to advise you, the prospective client what if anything, may be done for you, and what the minimum fee will be. The purpose is not to render a definitive legal opinion as it may be impossible to fully assess a matter within the time frame allotted for a consultation or with the (information or documents) that you may be able to provide at the initial consultation.

RESIDENCE ADDRESS
RESIDENCE ADDRESS
City
State/Province
Zip/Postal
Country

If your matter is business related

HOW DID YOU HEAR ABOUT US? Please check all that apply:
MAY WE SEND YOU AN EMAIL WITH OUR CONTACT INFORMATION?
WHAT IS YOUR PREFERRED METHOD OF CONTACT?

Following your initial interview, if you agree to hire the Attorney, and the Attorney agrees to represent
you, you will both sign a Representation Agreement. The Representation Agreement will set forth
the terms and conditions of representation. NOTICE: This office does not represent you with regard
to the matters set forth by you herein in this information sheet or discussed during your consultation
unless, and until, both you and the Attorney execute a written Representation Agreement.
If the Attorney is willing to represent you but you decide not to sign a Representation Agreement
today, you are strongly urged to immediately consult with other legal counsel to protect your rights.
If the Attorney does not agree to represent you, he will not represent you in regard to the matter set
forth by you on this information sheet and any other matters you may discuss with the Attorney during
your consultation. If your legal problem(s) involve a potential lawsuit, it is important that you realize
a lawsuit must be filed within a certain period of time called a Statute of Limitations. Therefore, the
Attorney strongly urges you to immediately consult with another attorney to protect your rights. The
Attorney’s decision not to represent you should not be taken by you as an expression regarding the
merits of your case.

PLEASE ATTACH ANY DOCUMENTS RELEVANT TO YOUR CONSULTATION HERE.
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