This "Intake Form" will allow you to provide the information needed to allow our office to gather initial information, conduct a basic case screening, and run a conflict check through our system.
When you complete and submit this "Intake Form" you will be emailed a copy of the infomration you submitted as well as a link to schedule your consultation to the email address that you provide.
Please ensure that you only provide an email where you can SAFELY receive contact and you are confident is not being monitored, or able to be monitored, by ANY 3rd parties.