Texas DWI Defense - Office of Gary L. Medlin

Have you ever been arrested for DUI/DWI before?

yes

no

If 'yes', what approximate date(s) was(were) your previous DUI/DWI(s)?

Your Current Arrest Matter:

Date of Your Current Arrest?  

Was your license valid on this most current arrest (ie. not suspended or revoked for another reason)?

yes

no

Did the officer take your driver's license and give you temporary license?

yes

no

Do you currently have a commercial driver's license?

yes

no

Think carefully about these next few questions:

Approximately how many minutes went by from the time the officer stopped/contacted you until he put the handcuffs on you?

Approximately what time were you first contacted by the officer?

Approximately what time were you arrested (handcuffed)?

Approximately how many minutes went by from the time you were arrested (when they handcuffed you) until you arrived at the blood, breath or urine test location?

Approximately how many minutes went by from the time you arrived at the chemical test location until you took the first chemical test (blood, breath or urine test)?

Analysis Questions - Probable Cause:

Did the officer see you driving, or if s/he did not, did you admit to driving a vehicle?

yes

no

I don't know/not applicable

Did the officer have a valid reason for stopping you in the vehicle?

yes

no

I don't know/not applicable

What did the officer indicate to you as the reason for the traffic stop or contact with you (select all that apply; select multiple by holding your CTRL key down and clicking the desired selections)?

Speeding Weaving Involved in accident - no injury to anyone Involved in accident - injury to at least one person Roadblock / checkpoint Unknown S/he didn't tell me

If none of the above apply, please indicate the reason for the stop of your vehicle or contact with you?

Did you drink any alcoholic beverages, and/or take any drugs, within 10 hours of being stopped by the officer?

yes

no

I don't know/not applicable

If you drank alcoholic beverages, what type (select all that apply; select multiple by holding your CTRL key down and clicking the desired selections)?

None consumed Beer-regular Beer-microbrew Beer-malt liquor Wine-red Gin Vodka Rum Tequila Martini Long island ice tea Other

If 'other' please indicate type of beverage?

Think about the drinks you had. Many people underestimate how many drinks they had, or cannot remember. This can be extremely important to your case though. In order to calculate your Blood Alcohol Level please indicate how many drinks you had total (one drink is equal to a 12 ounce beer, a regular 4 ounce glass of wine, or, 1 shot or 1 ½ ounces-of hard liquor)?

Number of servings of alcohol:  

Approximately what time did you finish your LAST alcoholic beverage?  

If you were on prescription medications or other drugs, what type (select all that apply; select multiple by holding your CTRL key down and clicking the desired selections)?

Not applicable Anti-depressant Pain medication Valium/tranquilizer Marijuana Methamphetamine Powdered cocaine 'Crack' cocaine Heroin Ecstasy Other

If 'other' please indicate type of medication or drug?

What size meal did you have within three (3) hours of drinking or drug use?
Not Selected Hadn't eaten within the time limit Bar snacks Small meal Medium meal Large meal Extremely large meal Other

If 'other' please indicate size of meal?

What were you doing 3 hours prior to driving?

Did you feel the effects of the alcohol you drank, or drugs you were taking, when you were driving (i.e. feel a buzz, feel drunk or high)?

yes

no

I don't know/not applicable

If you drank after driving, please explain:

Analysis Questions-Reasonable Cause to Arrest:

Did you take any field balance/coordination (field sobriety tests - FST's) tests prior to being arrested and handcuffed?

yes

no

I don't know/not applicable

Were you ordered or did you do them voluntarily?

Ordered

Voluntary

Please select the field sobriety tests you were ordered to perform (select all that apply; select multiple by holding your CTRL key down and clicking the desired selections)?

If 'other' please indicate what they made you do?

Did you blow into a field breathalyzer or hand-held type gadget?

yes

no

If you know, what was the result of the hand-held breathalyzer gadget test?  

Did the officer advise you that you could refuse to take the hand-held gadget breath test?

Did you fail to satisfactorily perform the balance and coordination tests as demonstrated to you by the officer?

yes

no

I don't know/not applicable

Analysis Questions - Chemical Test/Test Refusal:

Did you take a blood, breath or urine test?

yes

no

I don't know/not applicable

If you took a chemical test, did you take a blood, breath, or urine test?

Blood

Breath

Urine

I don't know/not applicable

Did you take the chemical test (blood, breath or urine at the station) within 2 hours of driving?

yes

no

I don't know/not applicable

Did you select (choose for yourself) the chemical test if you took at least one (i.e. the blood, breath, or urine test)?

yes

no

I don't know/not applicable

If 'yes' type in the test and the results if you know:  

If you are charged with refusing a chemical test, where or when did you supposedly refuse?

If you refused, but later changed your mind, please give details:

Due Process Under the Law:

What type of law enforcement officer was the arresting officer (the one who gave you tests, handcuffed you, took you to jail)?

Please input the arresting officer's last name and badge or serial number:

Please input the agency that the officer worked for (ie. Dallas Police Department):

Did the officer treat you fairly and professionally?

yes

no

Please enter any comments about the officer below:

City and State where arrest took place?  

For Texas, scheduled to appear in which County?  

What date and time is your court date?  

Please enter any comments or things you think your attorney should know that is not asked for on questionnaire:

Have you consulted with another attorney?

yes

no

Is it your goal to win your DWI case?

yes

no

Is it your goal to save your Driver's License from suspension/revocation?

yes

no

Are you aware that to contest any license suspension a hearing must be requested no later than 15 days after your arrest?

yes

no

Are you aware that if you retain this office on your DWI charge within the 15 day period, I will do the license hearing for no additional costs?

yes

no

Are you aware that DUI/DWI cases can be successfully defended?

yes

no

Are you aware that a conviction and/or driver's license suspension for DWI will result in insurance cancellation or an increase cost?

yes

no

Personal Infomation - Strictly Confidential:

Name: *  

Email Address: *  

Your Home Address: *  

Home Phone: *  

Business Phone:   

Cell Phone:   

Facsimile Number:   

Contact Preference (how do you want to be contacted, i.e. be discrete, email, etc.)?   

Date of Birth:   

Driver's license Number:   

Occupation:   

Annual Income:   

Place of Employment:   

What is your budget to defend your current case?   

Do you want me to contact you by telephone for an initial interview?

*   yes

no

*Please enter the security code shown above. This helps me prevent SPAM & automated submissions

If you have checked your answers ...