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LCL MA | Intake Form

Upon completion of this form, you will receive an email from LCL with instructions to schedule your consultation. Please make sure to check your spam folder.
Only fields marked with an asterisk(*) are required. If you are already an LCL client, please complete this form to update your information or if you wish to speak with someone new.

This information is for our confidential record, and is not used for “marketing” purposes. LCL will only disclose your record with your consent or to comply with a court order. For more information on the confidentiality of our services, see Mass. R. Prof. C. 1.6(d); M.G.L. c. 112, § 129A; M.G.L. c. 112, § 135B; 251 C.M.R.; and 258 C.M.R.

To schedule anonymously, please call (617) 482-9600. Please note if you are anonymous, we will not be able to produce records for you.

This is not an emergency service. If you are feeling suicidal, call or text 988 or seek emergency services at a hospital.
Upon completion of this form, you will receive an email from LCL with instructions to schedule your consultation. Please make sure to check your spam folder.
Only fields marked with an asterisk(*) are required.

This information is for our confidential record, and is not used for “marketing” purposes. LCL will only disclose your record with your consent or to comply with a court order. For more information on the confidentiality of our services, see Mass. R. Prof. C. 1.6(d).

If you are willing to provide some further information, it would help us track our efforts to reach the Massachusetts legal profession, and help ensure we continue to remain a funded & free resource. Only fields marked with an asterisk(*) are required.  
This information is for our confidential record, and is not used for “marketing” purposes.
Contact Information
Please provide the email you would like to use for all communications from LCL.
Consultation Information
(i.e., time management, career development, ethics, referred by BBO or judge, etc.)
For example, if you need an accommodation based on mobility access, vision or hearing access, etc.
Additional Information
For example, 2005. Use your anticipated graduation year if you are a student.
To select multiple, hold down the Ctrl key.
Health Information
Responses are NOT required. The information below helps our clinical staff prepare for your consultation and provide follow-up services as needed.
Demographic Info (Optional)
We ask for the information below in order to improve our services and to measure our organization's reach.
You can select multiple by holding down the Ctrl key
You can select multiple by holding down the Ctrl key

By submitting this form, you agree that you have read and understand the LCL "Information for New Clients." You also understand that if you are referred to an outside provider, LCL will disclose relevant info to the provider.
By submitting this form, you agree to our Terms of Service. 
Questions or concerns? Contact us at email@lclma.org or call (617) 482-9600.
Questions or concerns? Contact us at email@lclma.org or call (617) 482-9600.

Contact Information