Lawdent.com


New Client Solicitor Referral
From
Contact Name :
Firm :
Contact Phone Number :
Contact Email Address :
Regarding
Client Name :
Address :
Client Day time Contact number :
Brief Details of Potential Claim

We understand that the Dental Law Partnership will contact the above client with regard to a potential claim and if the Dental Law Partnership subsequently accepts instructions then they will pay to us the sum of £100 plus VAT by way of a referral fee within 28 days of completion of the Conditional Fee Agreement.