Welcome to Lehigh Valley Immigration Law

Please complete this brief intake form so our team can review your information and determine how we can best assist you.

Completing this form does not create an attorney–client relationship. Once submitted, a member of our staff will contact you to confirm your consultation and discuss next steps.

Instructions:

Provide your full legal name, best email, and phone number (WhatsApp if preferred).
Briefly describe the immigration issue you need help with (e.g., family petition, asylum, removal defense, employment visa, waiver, etc.).
If you are completing this form on behalf of someone else, please include your name and relationship in the “Additional Details” section.
Do not include confidential documents or sensitive identifying numbers (such as Social Security Numbers) in this form.
After you submit, our office will contact you within 24 business hours to schedule a consultation or request any additional information.

Thank you for choosing Lehigh Valley Immigration Law, LLC — we look forward to assisting you.

Contact information

Prefix

First name *

Middle name

Last name *

Emails

Email Address *

Type

Upon submission, a copy of this form will be sent to the primary email.

Add email

Addresses

Street address

Country

City

State/Region

Zip/Postal code

Address type

Add address

Phone numbers

Phone number

Type

Add phone number

Contact information

Please describe your immigration question and how we can help assist you.