Client Medical Questionnaire Form

The proper Defense of a DUI charge requires a complete medical history to enable us to completely and properly evaluate your case. Most of the scientific and pseudo-scientific evidence in your case rests on assumptions that you are an "Average Normal Person" and that you are in “Perfect Health .” A complete medical history is also important to help us evaluate your performance on the so-called "Field Sobriety Test" and to help us present alternative explanations for, what may appear to be objective signs of intoxication. Thank you for your time and effort in completing this form—IT WILL HELP US HELP YOU.

At the time of your arrest, were you suffering from any recent or past conditions relating to your muscle, and if so, where?

Thank you very much for completing this form. This information is very important. We know it took a while to complete, but before you finish, please think about whether we missed anything about your physical condition or health that may be important for us to know. If there is anything you can think of, please list/discuss it below.