Speak to an Attorney Today


10201 Fairfax Boulevard, Suite 520
Fairfax, Virginia 22030

Cooper Ginsberg Gray

Initial Consult Form

Fairfax Family Law Attorneys

For an initial consultation with an experienced attorney at Cooper Ginsberg Gray regarding your case, please submit the following response form. We will respect the confidentiality of your information to the fullest extent. Form submissions are relayed to us through our highly secure servers.

Tell us who you are and how we can contact you. Note: This information is strictly confidential and will not be communicated with anyone. It is necessary only for purposes of enabling us to do a conflict of interest check prior to responding to you. We cannot respond without being able to do our conflict check. Bold Fields are required.

The following information is for myself:  

If “No” please fill in the following information:





Potential New Client Information











OK to leave VM at this number?   


OK to leave VM at this number?   


Spouse/Opposing Party Information






Case Information










Attorney preference



Any other information

Please provide us with a very brief overview, in 200 words or less, describing in general the subject matter of your request. You can provide more detailed information below, but for now please confine yourself to providing us with a brief statement of the general facts of your case.

Security Code

When the information you have provided is complete, please press the Submit button below to send it to our firm. Your information will be kept strictly confidential.