Intake Form

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ATTORNEY/CLIENT DISCLAIMER – PLEASE READ CAREFULLY AND SIGN BELOW

Following your initial consultation, if you agree to hire the Attorney, and the Attorney agrees to represent you, you will both sign an Engagement Letter. The Engagement Letter will set forth the terms and conditions of representation. Once engaged, the initial consultation fee that you paid will be applied as a credit to future work.

If the Attorney is willing to represent you and you decide not to sign an Engagement Letter, you are strongly urged to schedule a second appointment with the Attorney at the earliest possible time or to immediately consult with other legal counsel to protect your rights.

NOTICE: This office does not represent you with regard to the matters set forth by you herein in this information sheet or discussed during your consultation, unless and until, both you and the Attorney execute a written Engagement Letter.

If the Attorney does not agree to represent you, this includes not representing you with regard to the matter set forth by you on this information sheet, nor any other matters you may discuss with the Attorney during your consultation. If your legal problem(s) involve a potential lawsuit, it is important that you realize a lawsuit must be filed within a certain period of time called a Statute of Limitations. Therefore, the Attorney strongly urges you to immediately consult with another attorney to protect your rights. The Attorney’s decision not to represent you should not be taken by you as an expression regarding the merits of your case.

It is understood that any and all communications are subject to attorney-client privilege to the extent allowed by law, whether or not any attorney-client relationship is formed now or in the future.

Your signature acknowledges only that you received and read a copy of this completed information sheet and does not mean you have hired the Attorney.

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