Client Forms

Please complete the Estate Planning Intake Form and bring to your appointment or email in advance to [email protected]. You can also mail your completed form to Hein Law Office 101 S Main St Fort Atkinson, WI 53538

• Estate Planning Intake Form

Please complete the SSDI Intake form and bring to your appointment or email in advance to [email protected]. You can also mail your completed form to Hein Law Office 101 S Main St Fort Atkinson, WI 53538. The Medical Source Statements (MSSs) should be given to the doctors or healthcare providers you believe will support your claim for disability.

• SSDI Intake Form
• SSDI Fee Agreement
• 1696 Auth Rep Form
• Mental Medical Source Statement
• Physical MSS