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Client Intake Form (CSLNC, LLC)
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Client Intake Form (CSLNC, LLC)
Please complete this form prior to your scheduled consultation to help us prepare and provide the most accurate support for your case.
Full Name
(Short answer)
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Firm Name
(Short answer)
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Email Address
(Short answer)
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Phone Number
(Short answer)
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Preferred Method of Contact
(Multiple choice)
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Phone
Email
Text
Case Name / Reference
(Short answer)
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Type of Case
(Checkboxes)
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Medical Malpractice
Personal Injury
Wrongful Death
Workers’ Compensation
Product Liability
Your Role in the Case
(Multiple choice)
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Plaintiff
Defense
Neutral / Consultation Only
Status of the Case
(Multiple choice)
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Pre-Litigation
Active Litigation
Trial Preparation
What type of support do you need?
(Paragraph)
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Approximate Volume of Medical Records
(Short answer)
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Will you be providing records prior to the consultation?
(Multiple choice)
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Yes
No
Not Sure Yet
Deadlines or Court Dates
(Short answer)
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Additional Notes
(Paragraph)
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Upload Any Relevant Case Materials
Please attach PDFs, medical records, legal documents, or any files you’d like reviewed.
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Client Intake Form (CSLNC, LLC)
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