Thank you for reaching out to Davenport Law. We know how stressful and frustrating it is to have your child's medical exemption denied, and we're here to help.

This short form should only take a few minutes. Please share what you can — you don't need to have every detail ready, and we'll cover anything else together during your consultation.

Privacy Policy

We respect your privacy. The information you provide is used only to review your potential case and contact you about it. Submitting this form does not create an attorney-client relationship. We do not sell or rent your information, and we share it only as needed to evaluate your matter or as required by law. We use secure systems and any AI-assisted work is supervised by our attorneys. Data is kept only as long as needed and you may request access, correction, or deletion at admin@davenport.law. We're happy to answer any questions before you complete this form.

Contact information: Parent (or Guardian) 1

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First name *

Middle name

Last name *

Emails

Email Address *

Type

Upon submission, a copy of this form will be sent to the primary email.

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Addresses

Street address

Country

City

State/Region

Zip/Postal code

Address type

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Phone numbers

Phone number

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THANK YOU

Thank you so much for completing this intake questionnaire. This information will be extremely helpful in evaluating your case. We will contact you as soon as possible with any updates.

Please click the SUBMIT button below when you have finished answering all questions.

Contact information: Parent (or Guardian) 1

Parent 1 (or Guardian) Cell Phone Number

Preferred Contact Method for Parent 1 (or Guardian)

Parent 2 (or Guardian) Cell Phone Number

Preferred Contact Method for Parent 2 (or Guardian)

Was your child excluded from attending school?

If yes, what was the date of exclusion?

Also if yes that your child was excluded, do you want to get your child back into that same school?

Please upload a copy of your school's denial letter (if any) and any other correspondence with the School

What is your child's first name?

What is your child's last name?

What is your child's date of birth?

What is your child's school district's name?

What is your child's school's name?

Please upload a copy of your most recent Medical Exemption Form for Child 1

Do you have any other child(ren) excluded from school?

If Yes, please list the First Name of Child 2

If Yes, please list the Last Name of Child 2

Child 2's date of birth?

Please upload a copy of your most recent Medical Exemption Form for Child 2

Please upload any other supporting medical documentation (if any)

Notes / Additional Case Details

How were you referred to our law firm?

Please acknowledge that you have read and hereby accept the above privacy policy regarding use of your personal information by typing your full legal name below

Date Completed and Signed

THANK YOU