We handle the business structuring of health care clinics, health care facilities, marketing promotions, professional contracts, ethical issues and other health care legal issues. Please give us some information about your matter:

Health Care Questionnaire

Name:
Address:
City:
State:
Zip:
Email address:
Telephone Number:
Best time to call:

Are you a:

Medical Doctor
Chiropractor
Licensed Technician
Nurse - state what type of license you hold
Other - state what type of license you hold

County of Practice

Give us a brief explanation of the facts of your case:

What legal work do you need done?

How were you referred to us?

TV
Yellow Page
White Pages
Friend
Lawyer or Doctor
Other
Saw Victor Makris speak in a seminar

If a person referred you to us please state their name: