Clinic Appointment Request Form

Clinic Appointment Request Form

⚠️ If you are unresponsive to staff communications before the clinic, MDVLA reserves the right to cancel your clinic appointment. ⚠️ Our next clinic will take place on Tuesday, October 27th at Baltimore Unity Hall (1505 Eutaw Pl, Baltimore, MD 21217) from 11 AM - 2 PM.
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
2 digit month, 2 digit day, 4 digit yearDate
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?
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 October's clinic will take place at Baltimore Unity Hall(1505 Eutaw Pl, Baltimore, MD 21217) with no virtual appointments and certify that I will attend in-person at my confirmed appointment time.
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