Complete the Personal Information Form If this is your first appointment, please fill
out the form below. The information you provide helps me understand
your circumstances and loss. The information you send is encrypted and
sent via SSL (Secure Sockets Layer). Once received, it is stored in a
secured file. If you do not wish to complete the information form on
your own, I can go over it with you during our first session.You can also call my office for assistance at any time.
847-380-4068