Clinic Appointment Request Form

Clinic Appointment Request Form

⚠️ PLEASE READ ⚠️ Our upcoming clinic takes place on May 2, 2026 (at Towson Library located at 320 York Rd, Towson, MD 21204). Please carefully select your appointment slot to make sure you are selecting the correct appointment time & location.
Request a clinic slot*
Name*

First NameLast Name
Email*
example@example.com
Pronouns*
Gender*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What county do you live in?*
Birthday*

MonthDayYear
Date
Cell Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Race*
What type of artist are you?*
What type of legal issue are you having?*
Detailed description of legal issue*
Do you have any files or documents that may need further review by an attorney?*

YesNo
Do you have a digital copy of these files or documents?*

YesNo
Please upload the relevant file. MDVLA will not accept documents exceeding 5 pages in length for review at the Art Law Clinic.*

Cancelof
I understand that April's clinic will take place on Zoom with no in-person appointments and certify that I will attend virtually at my confirmed appointment time.*

YesI will cancel my clinic appointment and wait for an in-person clinic.
I understand that May's clinic will take place on at the Towson Branch Library ( 320 York Rd, Towson, MD 21204) with no virtual appointments and certify that I will attend in-person at my confirmed appointment time.*

YesI will cancel my clinic appointment and wait for a virtual clinic.
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