Pre Consultation Form

Permission to Contact

I authorize Zimmer Law Firm to occasionally mail or email information to me and to text message me for appointment reminders. I understand that I can unsubscribe to communication from the firm at any time and I also understand that the Law Firm will not share or sell my contact information to anyone. I prefer to be contacted at the phone number and email address listed above.

Use your mouse or touch screen to sign. You can also type your name in the box below instead of writing your signature.