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Wegner Buchanan
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St. Louis, MO 63105
Local: (314)726-6464
Fax: (314)726-6488
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Home > DWI Guide > Initial Consultation

Initial Consultation


We request that each of our clients complete an Initial Consultation Form and bring the completed form to the first attorney-client meeting. If you have scheduled a meeting with us to discuss your DWI case, please complete the printable form or the online form below. The online form sends the information by email to Wegner Buchanan. If you complete the printable form, please bring the form with you to the first attorney-client meeting.

It is important to understand that you are not a client of Wegner Buchanan until you have signed an engagement agreement and paid the required retainer. You do not become a client of Wegner Buchanan by completing an Initial Consultation Form.


How did you hear about us?

Name:

Gender:

Male
Female

Date of Birth:

Social Security Number:

Drivers License Number:

When is your next court date:


CONTACT INFORMATION

Address:

City:

State:

Zip:

Home Phone:

Cell Phone:

Work Phone (optional):

Email Address:


DWI DETAILS

Date and time of DWI arrest:

Location of DWI arrest:

Which police agency arrested you:

The arresting officer(s) name(s) (If you remember):

If the officer pulled you over, did he explain why?:

Were you arrested (handcuffed) before the chemical (blood or breath) test was conducted?

    Yes
    No

Approximately how many minutes went by from the time you were arrested (handcuffed) until you arrived at the chemical test (blood, breath or urine test)?:

    

Approximately how many minutes went by from the time you arrived at the chemical test location until you took the first chemical test (blood, breath or urine test)?:

    

How much time elapsed between finishing your last drink and taking the chemical test?

    

Please describe the number of drinks you consumed, what you consumed and when you consumed it for a period of 8 hours before the arrest:

Please describe what food you ate and when you ate it for a period of 8 hours before the arrest:

Were you asked to perform field sobriety tests?

    Yes
    No

If so, explain the tests you were asked to perform?

Please describe any medical conditions, injuries or physical constraints from which you suffer (especially those that my have affected your ability to perform the field sobriety test):

Do you suffer from GERD, acid reflux or frequent heartburn? Describe:

Do you suffer from any pulmonary (lung) impairments? If yes, explain:

Describe any allergies you suffer from and whether this has been diagnosed:


DRIVING/CRIMINAL RECORD

Do you have any prior DWI arrests?

    Yes
    No

If so, how many, when, and where did the arrests occur?

Do you have any prior DWI convictions?

    Yes
    No

If so, how many, when, and where did the convictions occur?

Have you ever been charged with having committed a misdemeanor or felony?

    Yes
    No

If yes, explain:

Have you ever been convicted of committing a misdemeanor or felony?

    Yes
    No

If yes, explain:

Has your drivers license ever been suspended or revoked?

    Yes
    No

If yes, explain:

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We will provide superior legal counsel. We will keep you informed about your case and will promptly respond to your telephone calls and emails. We will work every day to earn the trust you place in us by choosing our law firm.

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