Skip to content
IL
•
Illinois
CA
•
California
NY
•
New York
TX
•
Texas
WI
•
Wisconsin
DC
•
Washington DC
INT
International
Book a Consultation
Healthcare Lawyers
JACKSON LLP
Healthcare Lawyers
JACKSON LLP
Home
About
The Firm
Connor D. Jackson, Co-Founder
Erin K. Jackson, Co-Founder
Our Team
Frequently Asked Questions
Careers
Contact Us
Who We Help
Physicians & Surgeons
Psychiatrists & Mental Health
Physical Therapy & Rehabilitative Care
Advanced Practice Nurses
Veterinarians
DME Companies
International Clients
See More Clients →
What We Do
Business Startup
Contracts & Transactions
Insurance Clawback Defense
Medicare & Medicaid Audit Defense
HIPAA Policies & Procedures
Intake Forms
MSO/MSA Arrangements
Telehealth
See All Services →
Where We Practice
Illinois
California
New York
Texas
Wisconsin
International
See All Locations →
Blog
Search for:
Search Button
IL
•
Illinois
CA
•
California
NY
•
New York
TX
•
Texas
WI
•
Wisconsin
DC
•
Washington DC
INT
International
Healthcare Lawyers
JACKSON LLP
Healthcare Lawyers
JACKSON LLP
Home
About
The Firm
Connor D. Jackson, Co-Founder
Erin K. Jackson, Co-Founder
Our Team
Frequently Asked Questions
Careers
Contact Us
Who We Help
Physicians & Surgeons
Psychiatrists & Mental Health
Physical Therapy & Rehabilitative Care
Advanced Practice Nurses
Veterinarians
DME Companies
International Clients
See More Clients →
What We Do
Business Startup
Contracts & Transactions
Insurance Clawback Defense
Medicare & Medicaid Audit Defense
HIPAA Policies & Procedures
Intake Forms
MSO/MSA Arrangements
Telehealth
See All Services →
Where We Practice
Illinois
California
New York
Texas
Wisconsin
International
See All Locations →
Blog
Book a Consultation
"
*
" indicates required fields
Step
1
of
3
33%
We support clients who operate in at least one of these states, even if you also operate elsewhere:
California, Illinois, New York, Texas or Wisconsin
. You’ll confirm this during booking.
Which best describes your legal needs?
*
Employment Contract Review
Healthcare Practice or Business Support
Which best applies to you?
*
I want to end my current employment contract.
I have been offered a new employment contract.
I’m an established practice owner and need help with a contract.
I’m starting my own practice and need help with a contract.
What is the name of your current employer?
Please name the employer. If not otherwise employed, respond N/A. (We need to ensure that we don't have a prior attorney-client relationship with that employer before we proceed with your call.)
*
Enter Details
Name
*
First
Last
Your complete and accurate name is needed for our conflict-check process
Email
*
Phone
*
We will call this number
Company name
If your company is not yet established you can write “TBD” here
Your zip code
*
{for our conflict check process}
Will another person be joining the call?
*
No
Yes, they will be in the room with me on the same line (e.g., on speakerphone)
If yes, please include the following for the additional guest: • NAME • ROLE • EMAIL
*
State(s) in which you live and/or conduct business
*
Illinois
California
New York
Texas
Wisconsin
International
Other
(Our attorneys are licensed in these states. If you’re not in any of them, please email
hello@jacksonllp.com
to be sure we can help.)
Other Location
*
Do you have an active healthcare license?
*
Yes
No
If yes, what is your license? (Please be specific, e.g., "MD" or "LMFT" instead of "physician" or "psychotherapist.")
*
Reason for consultation
*
If you are currently employed by another organization, please name the employer. If not otherwise employed, respond "n/a."
*
(We need to ensure that we don’t have a prior attorney-client relationship with your employer before we proceed with your call.)
I consent to receive SMS text messages.
I consent to receive SMS text messages.
Scroll to Top