Request for Consultation

We will provide an initial, one-time 30 minute telephone consultation in order to assess a prospective client’s need for legal representation.  Although all information submitted to us in preparation for this consultation will be kept strictly confidential, please be advised that no attorney-client relationship is formed on the basis of a preliminary consultation with our law firm. See our Disclaimer.

This initial consultation provides an opportunity to review your specific immigration background and to provide a preliminary assessment based on the facts and any related documents as you present them to us.  For purposes of such a consultation, we must assume that the information you provide to us is complete and accurate in all respects.

Please complete the following form in its entirety and send it to our office by clicking the “Submit Questionnaire” button at the end of the form.  The information provided should be about the primary person seeking legal assistance.


Your Personal Information

Full Name


Date of Birth

Country of Birth

Country of Citizenship

Marital Status

Your Contact Information

Your Email (required)

Best Phone to Reach You

Address Line 1

Address Line 2



Postal Code


Your Immigration Information

Current Visa or Immigration Status

Date Visa Status Expires

Your Message

Supporting files (pdf):

By submitting this form and any related documents requesting an initial consultation, you affirm that all documents, information and facts provided are true and complete to the best of your knowledge and that you have not failed to disclose any material facts known to you that may affect our assessment of your immigration matter.
You also affirm that you have read and agree to the full terms and conditions contained in our Disclaimer.


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