Confidential Questionnaire * First name: * Last name: Your Phone Number: Alternative phone number: * Your Email Street address: City: Select a State Zip code: Your spouse or partner's first name: Your spouse or partner's last name: Your previous/current lawyer: Child's Attorney (if known) Who referred you: You are seeking advice regarding... Biological child/grandchild Foster child Adopted child Other What is the nature of your case? Abuse/neglect case pending in court currently Dispute with social worker or agency Subsidy Relative caregiver/kinship adoption Seeking to adopt foster child Legal guardianship Educational or medical needs for a child in my care Appeal Other Comments