Description: The following intake is required for all new clients. This form is intended to gather all necessary client information for our law office’s internal use only.

Instructions: Please fill out all the fields as best you can. If a field doesn’t apply to you, simply leave it blank or write “N/A.” The first section is for the CLIENT – the person who is in custody or facing the charges or potential charges. The RELATIVE contact information goes in the second section.

SPOUSE/FAMILY/FRIEND INFORMATION –

All information regarding the case is CONFIDENTIAL and can only be disclosed with the express written consent of the CLIENT.  The relative’s information will only be used for administrative matters and for purposes of contacting the client should we not be able to contact the client directly ourselves. Unless the client has provided express WRITTEN CONSENT, our office will NOT share confidential information with the relative listed.

Please note that certain fields are required and must be filled out before proceeding to the Relative’s Information section.