Forms

Clients must have their forms completed at least 48 hours before their scheduled appointment, or the appointment will be canceled. Silver Linings Counseling also requires a credit card on file to charge copays, missed appointment fees, and account balances.

Please complete the three required forms:

*Please use the Coordination of Care form for medical professionals only (PCP, Psychiatrist, Nurse Practitioner, etc.). If you would like to give permission for a non-medical professional to access information, please fill out the Release of Information form below

You will also be sent a payment authorization form before your first appointment (please check your spam folder for the invitation to join our client portal).

Additional Forms:

The Release of Information is for a non-medical professional that you would like us to be able to communicate with for any reason. For example — a specific person, a school counselor, a lawyer, etc. This form is not required.

The Shared Custody Consent is a required form for divorced, separated, and/or non-married parents/legal guardians or minors ONLY if a legal shared custody and/or financial agreement in place.