Thank you so much for contacting our law office! Please read the privacy policy below, and then fill out this form in its entirety prior to our consultation.

Privacy Policy

All information received from a Potential New Client is strictly confidential. Our firm takes every step possible to protect your privacy. The data submitted via this form is encrypted and secured using industry-standard 256-bit SSL encryption.

Your personal information will only be used in the event that you hire the firm to represent you in your legal matter, and then only when necessary in limited use during the course of your case.

If you have any questions, please don't hesitate to contact our law office. We look forward to working with you!

Contact information

Prefix

First name *

Middle name

Last name *

Emails

Address *

Type

Upon submission, a copy of this form will be sent to the primary email.

Add email

Addresses

Street address

Country

City

State/Region

Zip/Postal code

Address type

Add address

Phone numbers

Phone number

Type

Add phone number

Preferred Contact Method

Gender

Male

Female

Do you prefer morning or afternoon appointments?

Morning

Afternoon

Marital Status

Single

Married

Separated

Divorced

Widowed

Are you filling out this form on behalf of someone else?

Yes

Are you currently employed?

Yes

What type of criminal charges are you facing (e.g., DUI, theft, assault)?

When and where did the incident occur?

Have you been formally charged? If yes, what is the specific charge(s)?

Do you have a court date scheduled? If yes, when and where?

What is the name of the law enforcement agency involved (e.g., Hopkins County Sheriff, Sulphur Springs Police Dept)?

Are there any existing court orders in your case?

Yes

Were you arrested?

Yes

Are you currently in custody or out on bond? (If applicable)

In custody

Out on bond

Was bail set? (If applicable)

Yes

Have you been convicted of any prior offenses?

Yes

Are you currently on probation?

Yes

Are you currently on parole?

Yes

Have you spoken to or hired another attorney for THIS matter?

Yes

What outcome are you hoping to achieve in this case?

How were you referred to our law firm?

Friend or family member

Another attorney

Online search or lawyer directory website

Billboard, bus stop, phone book, newspaper, or other physical advertisement

Radio or TV advertisement

Bar Association

Other

If our law firm ends up representing you in this matter, will you be the person who pays the legal fees?

Yes

If we are unable to assist you with your legal matter, may we refer you to another attorney?

Yes

ACKNOWLEDGEMENT AND ACCEPTANCE

I acknowledge that I have read and hereby accept the above privacy policy regarding use of my personal information.

THANK YOU

Thank you for providing your information. This information will be extremely helpful in evaluating your case.

Once submitted, our team will review your details and follow up with the next steps. If your case is a good fit, we will contact you to schedule a one-hour consultation with Attorney Clay Harrison for $350. Our attorney’s hourly rate is $350 per hour, and a retainer quote will be provided during the consultation based on the complexity of your case.

If you would like a copy of your completed form, you can download it using the link provided after submission. If you have any questions, please contact our office.

Please click the SUBMIT button below when you have finished answering all questions.