If you would like to retain the services of John A. Waller, Jr. please complete the client intake form found below. You may submit online via email.

If you were involved in a motor vehicle accident, you will need to complete a Retainer Ageement Form found below.

You may submit online via email.

If you were involved in a motor vehicle accident, you will need to complete a Medical Authorization Form found below.

You may submit online via email.

If you were NOT involved in a motor vehicle accident, you will still need to complete a Retainer Ageement Form found below for legal services.

You may submit online via email.

​​​​© 2020 by John A. Waller, Jr., Esq. 

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