Focused Record Review

If choosing Focused Record Review, instead of Comprehensive Review, please complete this form. Comprehensive Review is preferred. Please make sure all documents are attached (or enclosed if mailing) by completing this checklist.

Please note that all fields are required in order for your case to be reviewed. If a field is not applicable, enter “N/A”. If you are unsure, enter “UNKNOWN”. You may submit this form online after completion, or download the PDF to type or complete by hand, then return by email to our office. Submitting this form does not create an attorney/client relationship. A consultation and signed contract is necessary to establish representation. Click here to download.

Please attach all applicable documents listed below:

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