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Potential Client
Intake Form

Please Read and Acknowledge the Disclaimer Below

Neither your completion of the following forms nor our receipt of the following forms creates an attorney-client relationship and, therefore, you must not have any expectation of confidentiality with regard to any information contained in your submission. We welcome your completions of these forms, which are provided as a courtesy to you, but, in order to ensure that there is no conflict of interest, Barrington Law will not form an attorney-client relationship except through an in-person meeting or telephone conversation in which an attorney from Barrington Law specifically acknowledges the creation of an attorney-client relationship.


We may need to contact you to collect other sensitive information that cannot be gathered on this Potential Client Intake Form.

Click on the "Yes" button to acknowledge that you understand and agree to the foregoing or click on the "No" button to return to the home page.

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