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Intake Forms

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If you would like to complete an online intake form, please click on the applicable link below.  Please note that online intake forms that are submitted are confidential. Please provide a full and complete description of your legal issue in the forms below, including your contact information (e.g. address, email, phone).

To complete an online intake form for Disability Rights Legal Center (DRLC), please click here.

To complete an online intake form for Cancer Legal Resource Center (CLRC), please click here.