Wish to help a family member or friend who is in a controlling group or relationship?

Please complete this form to tell us about your needs.

This form asks for a lot of information as it will help us with our initial consultation. However, please know that some clients prefer to give us the details orally. If you can give us as much detail as possible within 10 pages, please do so as it is considered part of the initial consultation. If you choose to type your responses we ask you use you Times 12 pt font. Attach additional sheets as needed. Fields marked with an asterisk * are required, please. If you wish to give us more than 10 pages, there will likely be an additional time charge.

Thank you,

Steven Hassan

Helping Someone in Trouble Case Evaluation Form

Fields marked with an * are required