Schedule a Consultation

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954-382-1997

Click Here for Document Checklist and receive a courtesy discount on your initial consultation.

Preparing for Your Consultation:
 

Welcome to our office. When you contact our office to schedule a consultation you will speak with a Client Liaison.

Our Client Liaison will:

  • Ask you specific questions about your legal issue so that we can properly identify your legal needs.
  • Schedule sufficient time for your initial consultation.
  • Mail you A confirmation letter, questionnaire and exhibit list, and directions to our office.

The questionnaire should be completed before your consultation.

You will need to bring the following with you:

  • Your completed questionnaire so that our time together is effective.
  • Bring the documents requested on the Exhibit List to the appointment.
  • Bring a Driver’s License or Government photo identification to your consultation.

If you have any questions about completing the questionnaire or the exhibits requested, please notify us before your appointment.

  • We invite you to make a list of questions and concerns you would like to discuss and bring it with you to the appointment.
  • Your appointment is a “working consultation” where your questions will be addressed, possible alternative legal solutions identified, and the applicable laws will be discussed.

Please complete this web form so that our Client Liaisons can call you to schedule an appointment.
Our Client Liaisons will explain to you the cost and benefits of the consultation and what it includes. You may submit this web form online by completing the fields below and hitting the 'Submit" button at the bottom, or click here to open up a PDF document that you can print and fax to us at (954) 382-9997. Alternatively, we invite you to call our Client Liaisons at (954) 382-1997. Please note that WE DO MAKE HOUSE CALLS and can schedule a telephone consultation if you are out-of-state or in another area of Florida.


YOUR NAME : *

YOUR ADDRESS: *

YOUR PHONE: *

YOUR FAX:

WHO REFERRED YOU?

RELATIONSHIP TO PERSON FOR WHOM YOU ARE CALLING:

ADDRESS OF PERSON FOR WHOM YOU ARE CALLING:

PHONE NUMBER OF PERSON FOR WHOM YOU ARE CALLING:

MARITAL STATUS: Single Married Domestic Partner

AGE:

VETERAN: (WIDOW/ER OF VETERAN) YES NO

TYPE OF MATTER : (Check all that apply)

A. ESTATE PLANNING

D. PROBATE

B. MEDICAID PLANNING

E. PROTECTION of PERSONAL INJURY SETTLEMENT

C. GUARDIANSHIP

F. OTHER

IS THE PERSON YOU ARE CALLING ABOUT COMPETENT? YES NO

IS THE PERSON YOU ARE CALLING ABOUT ILL? YES NO

To best prepare for a consultation, please provide the following:

DO YOU OWN: Home Securities

Other Assets

DO YOU RECEIVE: Social Security Pension

Other Income

DO YOU HAVE ANY OF THE FOLLOWING LEGAL DOCUMENTS?:

Last Will & Testament

Designation of Healthcare Surrogate

Living Will

Durable Power of Attorney

Revocable Living Trust

 

IS THIS AN EMERGENCY? YES NO  

IS PERSON IN HOSPITAL? YES NO ( IF YES, NAME OF HOSPITAL )

IS PERSON BEING DISCHARGED FROM HOSPITAL? YES NO

ARE ANY OF THE FOLLOWING SITUATIONS APPLICABLE?

A. PERSON DIED AND THERE IS BURIAL PROBLEM

B. PERSON IS IN MENTAL HEALTH FACILITY

NAME OF FACILITY

C. PERSON WAS BAKER ACTED

NAME OF FACILITY

D. PERSON BEING DISCHARGED FROM NURSING HOME

NAME OF FACILITY

ADDITIONAL COMMENTS OR CONCERNS:

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1776 N. Pine Island Rd, Suite 208, Plantation, FL 33322 | 954-382-1997 | Fax 954-382-9997

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Before you decide, ask us to send you free written information about our qualifications and experience.

©Stephanie L. Schneider, P.A. All rights reserved.