Borah Law Firm
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Intake Form
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    Thank you for contacting our firm.  We look forward to helping you with your case.  However, before we get started, we ask you to read our Privacy Policy and then fill out this form in its entirety.
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    Privacy Policy

    At the Borah Law Firm, we are committed to protecting the privacy and security of your personal information in compliance with the Health Insurance Portability and Accountability Act, the Texas Medical Privacy Act, and other applicable federal and state laws. 

    All information received from you will be kept strictly confidential. Our firm takes every step possible to protect your privacy. The data you enter on this form is encrypted and secured using industry-standard 256-bit SSL encryption.

    We will use your personal and medical information to:

    • provide legal services to you,
    • communicate with you about your case,
    • obtain medical records or other documents,
    • share with expert witnesses, and 
    • share with opposing counsel.


    We do not sell, rent, or market your personal or medical information to third parties for marketing purposes.


    By providing us with your information, you agree to the terms of this policy.

    DISCLAIMER:  The use of the internet or this form for communication with our firm or any individual member of our firm is protected by the attorney-client privilege.  However, this does not guarantee that we will represent you on this claim. Time-sensitive information should not be sent through this form.  

    Please acknowledge that you have read and hereby accept the above privacy policy regarding use of my personal information by typing your full legal name below.*
    Please Enter Your Response.
    Thank you for completing this intake questionnaire.  We will contact you as soon as possible to further discuss this claim.

    Please click the SUBMIT button below when you have finished answering all questions.
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Contact Us
7500 Rialto Boulevard

Building 1, Suite 250
Austin, Texas 78735


512-774-3710
By Appointment Only
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   Office Hours
Monday: 8am-4pm
Tuesday: 8am-4pm
Wednesday: 8am-4pm
Thursday: 8am-4pm
Friday: 8am-12pm

We Would Love to Have You Visit Soon!


Contact Us

7500 Rialto Boulevard
Building 1, Suite 250
Austin, Texas 78735

​512-774-3710
By Appointment Only

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Office Hours

Monday: 8am-4pm
Tuesday: 8am-4pm
Wednesday: 8am-4pm
Thursday: 8am-4pm
Friday: 8am-12pm

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