Medical Questionnaire

Please fill out the following form to help us understand your physical condition.

Client Authority for Trust & File Destruction

I/we, hereby authorise and direct Salerno Law to transfer funds held in Trust in
payment of expenses, third party payments, and professional fees as they become
due in relation to the terms of my Matter as well as matter to matter transfers.

I/we agree for communication from Salerno Law to be accepted via electronic means
which includes us sending our bills to you and any other form of communication relating
to your matter.

I/we also authorise Salerno Law to scan my/our documents and destroy the originals
of those documents after four (4) weeks from the conclusion of the transaction and
destroy the electronic copies after 7 years.


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