Intake Questionnaire

This confidential questionnaire is designed to provide us with details about your situation. We will review your questionnaire and contact you via email with what you can expect, next steps and suggestions.

This questionnaire is meant solely for the use of the attorney for the purposes of analyzing and evaluating the prospective client’s case. If I decline to take your case, it does not mean you do not need an attorney. You should contact another attorney. Visit the links page for suggestions for finding an attorney.

Our office handles cases involving foster care parenting and grandparenting, and assists families involved in the foster-adoption process, including representation in appeals.

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

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