Intake Form - Law Firm Law Offices of Joseph M. Fein Attorneys Hewlett, New York

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Intake Form

Contact Joseph M. Fein Law Offices

Special needs education attorney Joseph M. Fein understands the unique challenges facing children with disabilities and their families. As the parent of a child with special needs, Mr. Fein has had to navigate the special education system. This valuable experience has given him a unique perspective, both from a parent's and a lawyer's viewpoint.

The law offices of Joseph M. Fein opened in 2004, focusing exclusively on education law and fighting for your disabled child's right to an education. Contact his Hewlett or New York City law offices today by phone, fax or e-mail to arrange an initial consultation.

Joseph M. Fein Law Offices
1175 West Broadway, Suite 22
Hewlett, NY 11557

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NOTE: An asterisk (*) indicates REQUIRED information. The use of the Internet or this form for communication with the firm or any individual member of the firm does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent through this form.

*Name:
*Email Address:
Date:
Child's Name:
Date of Birth:
Age:
Street Address:
City:
State:
Zip:
Home Phone:
School District:
Classification:
Current Placement:
Mother's Name:
Father's Name:
Address: (If different from above)

Business Phone:
Fax:
Cell Phone:
Household Members & Ages:

Referred by:

Labels in bold are required.

1175 West Broadway, Suite 22
Hewlett, New York 11557
Phone: (516) 792–9119
Fax: (516) 792–2977

271 Madison Avenue - 22nd Floor
New York, New York 10016
Phone: (212) 679-9119

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Serving the entire regional New York/Long Island area including, Nassau, Suffolk, as well as Brooklyn, Bronx, Queens, Manhattan, and Staten Island, Westchester and Rockland

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