Request an Evaluation

We ask for requests to be submitted 2 months in advance. If requests are submitted  less than 2 months in advance, it is unlikely we can accept your case.

If you are an attorney / client advocate, please fill out BOTH of following two initial intake forms:

1. REDCap Form: https://redcap.urmc.rochester.edu/redcap/surveys/?s=XRW89HKRXCC4HYKK

2. Google Form: https://forms.gle/DUYWVj6YdXvBAa6S8

If you have any additional questions or concerns, please email clinic@rochesterhumanrightsinitiative.org. We aim to respond to initial requests with our intake forms within 2-3 business days.