Client Intake Form
This form should be filled out by clients who are not seeking representation for a personal injury claim. If you are seeking a personal injury claim, your intake form can be found here. The information requested in this form will be kept confidential regardless of whether or not we decide to represent you in this matter. Please note that filling out this form does not create an attorney-client relationship. If you need assistance to fill out this form or have any questions or concerns, please email Admin at firstname.lastname@example.org or call 919.694.0001.