Family Focused. Solution Oriented.

Resolving family law matters while preserving family relationships.

Client Intake Form

All Consultations are Confidential

Client Intake Form

About You

Name

Middle Initial

Last

Phone

Date of Birth

Place of Birth

Type of Case?

How do you plan to pay for your legal fees?

Address

City

State

Zip Code

Your Employer

Income

Approximate household net worth?

Religious Preference

Last 3 digits of your Driver’s License number

Last 3 digits of your SS number

About the Opposing Party

Name

Middle Initial

Last

Phone

Date of Birth

Place of Birth

Address

City

State

Zip Code

Employer Address

Amount of Income

Opposing Religious Preference

Concerning Children Involved

Child 1

Name of Child

Sex of Child

DOB of Child

Place of Birth of Child

Child 2

Name of Child

Sex of Child

DOB of Child

Place of Birth of Child

Child 3

Name of Child

Sex of Child

DOB of Child

Place of Birth of Child

Child 4

Name of Child

Sex of Child

DOB of Child

Place of Birth of Child

Child 5

Name of Child

Sex of Child

DOB of Child

Place of Birth of Child

General Child Information

County Where Children Reside

How Long?

Who Provides Healthcare for Children?

Name of Healthcare Provider

Do You or Other Parent Have Any Other Children?

About Your Marriage

Marital Status

Date Married

If Separated, Date of Separation

How Long Have You Lived in Texas?

Do You Want a Name Change?

Please State Your Full Requested Name

Place of Marriage

Summary and Referrals

General Reasons for Your Marital Difficulties or Summary of Your Situation

How Were You Referred to this Office?

Do You Need a Referral to an Attorney for Preparation of a Will?

Accepting Terms of Agreement

I understand the attorney is not retained unless I reach an agreement with the attorney regarding attorney fees and sign a separate written contract.

Select *

The consultation fee is due at the end of the consultation and I agree that my credit card can be used to pay the consultation fee. If I do not hire the attorney and sign a contract, there is no obligation for either myself or the attorney beyond the consultation today other than the payment of the consultation fee.

Select *

Please enter your full legal name showing your acceptance and agreement to the conditions stated above.

Digital Signature *

reCAPTCHA

If you are human, leave this field blank.

Why Hire Our Friendly Attorney?

Crafting Creative Solutions For Families In Your Community



Board-Certified
Family Law Specialist



Collaborative Divorce as an
Alternative Resolution



Committed to Preserving
Family Relationships

Contact Us Today

For a Confidential Consultation

512-478-1011

7500 Rialto Blvd., Bldg. 1
Suite 250
Austin, TX 78735
Map + Directions

Quick Links

Family Focused.
Solution Oriented.

Family Focused. Solution Oriented.

Client Intake Form

All Consultations are Confidential

About You

About the Opposing Party

Concerning Children Involved

About Your Marriage

Summary and Referrals

Accepting Terms of Agreement

Why Hire Our Friendly Attorney?

Crafting Creative Solutions For Families In Your Community

Board-CertifiedFamily Law Specialist

Collaborative Divorce as anAlternative Resolution

Committed to PreservingFamily Relationships

Contact Us Today

For a Confidential Consultation

512-478-1011

Quick Links

Board-Certified
Family Law Specialist

Collaborative Divorce as an
Alternative Resolution

Committed to Preserving
Family Relationships