Law Firm Client Check-in Form
Please complete this form to check in for your appointment or visit at our law firm.
Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Date and Time of Check-in
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Are you a new or existing client?
*
New Client
Existing Client
Do you have an appointment today?
*
Yes
No
Attorney or Staff you are here to see
*
Type of Legal Matter / Reason for Visit
*
Please Select
Consultation
Ongoing Case Discussion
Document Signing
Mediation/Negotiation
Other
How did you hear about us?
Please Select
Referral
Online Search
Social Media
Walk-in
Other
Emergency Contact Name and Phone (optional)
Additional Notes or Information
Signature (Please sign to confirm your check-in)
*
Check In
Check In
Should be Empty: