Law Offices of Alexis Casillas

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Let's get started . . .

To help us better understand the difficulties you're facing and the educational goals you have, please fill out the information below. You should be contacted to arrange for an initial consultation appointment within 48 hours of your submission.

 
 

Intake Questionnaire

Name *
Name
Phone
Phone
Child / Student / Consumer's Name
Child / Student / Consumer's Name
Child / Student / Consumer's Date of Birth
Child / Student / Consumer's Date of Birth
If you have the names of any teachers, administrators, providers, coordinators, etc., please share them so that we can run a thorough conflicts check.
Date of your last assessment (if applicable)
Date of your last assessment (if applicable)
Date of last IEP / IPP Meeting (if applicable)
Date of last IEP / IPP Meeting (if applicable)
What type of services are you interested in?