Health Justice Partnership Referral

We ask you to fill out this form so we can work out how best to support your patient with their legal problem.

The information you provide here will be confidentially and safely saved in our system. Our administrative staff, paralegals and lawyers will use this information to contact your patient, make an appointment with a lawyer and work out how we can assist them.

 

We aim to get in touch with your patient within 5 business days of you submitting this form.

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