Client Intake Form

Client Intake Form

To apply for one of our programs, please complete the intake form below. We will contact you to review within one week.
  • Include pending court or hearing dates.
  • If this is a family Law matter, include Full name of opposing party and date of birth. If this is a criminal law matter involving more than yourself, include full name of co-accused.
  • This field is for validation purposes and should be left unchanged.