We’re so glad you’re here. At Silver Linings Counseling, PLLC, our licensed and caring providers partner with you to support your mental health, help reduce symptoms, and improve daily life. Starting therapy can feel intimidating, and we want you to feel comfortable asking questions at any point — about your care, your options, or our policies.

 

SLC offers individual therapy/counseling, group therapy, family/relationship therapy, teletherapy, and psychological testing/assessment. Medication evaluations and medication management services are not offered and clients are encouraged to consult their primary care physician and/or a psychiatric provider to learn more about psychopharmacological treatment options. Referrals for prescribers are available upon request.

Psychotherapy/counseling, commonly referred to as “therapy”, is individualized and may look different to each client. While the majority of this information applies to individual therapy additional information regarding our other services is also included in this section. Therapists rely on a variety of theoretical approaches, often integrating techniques from different schools of thought to provide individualized treatment. Therapy also occurs in different modalities, such as individual, couples, family, and group settings.

While therapy has many benefits, it also may come with some risks. Because therapy often involves discussing unpleasant aspects of your life, you may experience uncomfortable feelings like sadness, guilt, anger, frustration, loneliness, and helplessness. Nonetheless therapy has shown to promote better relationships, solutions to specific problems, and significant reductions in feelings of distress. While SLC clinicians are dedicated to helping people heal and grow, there are no guarantees that you (or your child) will benefit from therapy. Therapy may involve a substantial commitment of time, money, and effort outside of sessions. As such, it is important that you carefully consider several factors when deciding if therapy is right for you. We encourage you to consider your own level of motivation, your ability to commit to attending sessions and working between sessions to meet your goals, what type of therapist would be best for you, whether a different form of treatment (e.g., medication management) might better serve your needs, or whether a different agency might better meet your needs (e.g., sliding scale, location, hours of operation, etc.). After considering these factors, we hope that you still decide to work with an SLC therapist, however we are also happy to discuss alternatives that might better meet your needs.

If, after considering whether therapy is right for you at this time, you will be asked to participate in an intake appointment. During the intake, your therapist will ask questions about your current functioning, your background, and your goals for treatment. Therapists will ask about things such as physical health, substance use, past mental health treatment, family relationships, traumatic experiences, current symptoms, and other aspects of your life to gain a good understanding of you and your life history.

Please feel free to let your therapist know if you are uncomfortable answering a question. While the intake serves as a starting point for understanding your concerns, the evaluation process is ongoing. After the intake, you may choose to schedule a follow up appointment, request to work with a different therapist, or discontinue services at SLC. If you choose to work with a therapist at SLC, you can expect to collaborate with your therapist to set goals for your treatment (or the treatment of your child). To work toward your goals, most people meet with their therapist on a weekly basis for 45 to 55 minutes, however, session frequency varies depending on client needs. In sessions, your therapist and you (or your child) will likely explore life events, attitudes, relationship styles, and ways of thinking and behaving that cause problems for you (or your child). At times, in consultation with your therapist, you may choose to invite others into therapy sessions. If this occurs, you (or your child) remain the focus of the session – therapists work primarily for the benefit of the identified client.

In addition to individual therapy, SLC may offer the following:

• Child Therapy: Many SLC therapists offer services for children. Minors under the age of 18 are required to have a parent/guardian at the intake appointment. Parental/guardian involvement in therapy will be discussed at the intake and will be reassessed as needed. In some cases, the parent or guardian may be referred for personal therapy so that the child’s session can focus on their needs and growth.

Additionally, when a child’s parents are divorced/separated, guardians may be required to consent to SLC’s Divorced Parent Policy.

• Family/Relationship Therapy: SLC therapists may offer family or relationship therapy. Please note that when family/relationship therapy is scheduled, one person must be identified as the primary client. While the goal of family/relationship therapy is to benefit all those involved, the main goal of therapy will be to work toward the benefit of the identified client. Additionally, services will only be documented for and available to the identified client (or, if the identified client is a minor, to a legal guardian).
• Group Therapy: SLC therapists may offer group therapy services. Please be aware that SLC cannot guarantee that other group members will maintain confidentiality, however SLC therapists are committed to practicing ethically and maintaining your confidentiality. The therapist will also set clear expectations regarding privacy and confidentiality among group members. If a group member is found to have broken confidentiality of another group member, they may be terminated from the therapy group.
• Specialized Therapies: Some SLC therapists may offer specialized therapy services, such as EMDR for trauma, play therapy for children, sex therapy. In such instances, it is important that you review possible benefits and risks with the therapist to determine whether you would like to proceed with treatment; additional consent processes may be necessary.
• Psychological/Neuropsychological Testing & Assessment: Testing and assessment includes three steps. In step one, you will meet with a qualified health provider to complete an intake. During the intake, the assessor will obtain background information about you (or your child), including the reason testing is being sought, information about development, physical health concerns, family relationships, substance use/exposure, legal background, trauma history, and more.

SLC may offer telehealth services using secure, HIPAA-compliant audio and/or video platforms when clinically appropriate. Telehealth involves the use of electronic communication technology to provide mental health services when the client and clinician are in different physical locations. Telehealth services will be provided in accordance with applicable federal and Michigan laws and regulations and are subject to the same professional standards of care as in-person services.

While SLC takes measures to protect the privacy and security of telehealth sessions in accordance with applicable federal HIPAA regulations and Michigan law, clients should understand that no electronic system can guarantee complete security.

By participating in telehealth services, clients acknowledge and agree to the following:

• Clients are responsible for participating in sessions from a private location where others cannot reasonably overhear the session.
• Clients are responsible for using a secure and reliable internet connection and device whenever possible.
• SLC is not responsible for interruptions, unauthorized access, or breaches of confidentiality caused by the client’s environment, internet connection, or device used.
• Telehealth may not be appropriate for all situations, and the clinician may recommend or require an in-person appointment if necessary.
• Client agrees not to record telehealth sessions without the signed consent of their clinician.
• In the event of technical difficulties, the clinician may attempt to reconnect and/or contact the client using the phone number on file.
• Clients agree not to participate in teletherapy sessions while driving or operating a motor vehicle.
• Participation in telehealth services is voluntary, and the client may request in-person services when available and clinically appropriate.
• The client understands that telehealth services rendered by an SLC clinician are limited to clients physically located within the State of Michigan at the time of the appointment unless otherwise permitted by law. The client agrees to accurately disclose their physical location during telehealth sessions.

• You have the right to receive services from qualified professionals who are appropriately licensed in the state of Michigan, who adhere to their respective ethical codes, and who comply with state and federal laws.
• You have the right to privacy and confidentiality regarding the service you receive. All information about you and your treatment, whether written or verbal, is protected under federal and state laws, including the HIPAA Privacy Rule. Audio and/or video recording of sessions by clients, clinicians, or any other participant is prohibited unless all participants, including the client(s) and clinician, provide prior consent.
• You have the right to informed consent (see above) regarding services and a right to ask questions and receive honest responses to help you make decisions regarding your care.
• You have a right to receive treatment recommendations and to have those recommendations explained to you, including possible outcomes of participating in and refusing treatment.
• You have a right and a responsibility to actively collaborate with your clinician(s) regarding coordination of care and treatment planning at every stage.
• You have a right to refuse services at any time. You have a right to withdraw your consent to receive services and discontinue treatment at any time.
• You have the right to express any concerns or complaints regarding the services you receive.
• You have the right to know that your clinician may terminate services in the event that you repeatedly cancel or fail to attend scheduled sessions.
• You have the right to know we may contact law enforcement should an individual, client or otherwise, come to SLC under the influence of drugs or alcohol and attempt to leave SLC by driving a motor vehicle.
• You have a right to know that SLC is a non-smoking environment. Illicit drugs, alcohol, vaporizers, and weapons are not allowed on the premises. Persons in possession of any of these will be asked to leave immediately.
• You have the right to know that no clinician or member of our staff is allowed to date or have a personal relationship with current or former clients of the practice.
• You have the right to know that staff and therapists are typically not allowed to accept gifts from clients of the practice, nor are they permitted to enter into any business relationships with past or current clients.
• You have a right to know that when a minor is identified as the client, guardians are typically encouraged to participate in the treatment process.
• You have the right to request an estimate of costs associated with treatment, as outlined in the No Surprises Act.

• You have the responsibility to be present and punctual for your appointments. Arriving at in-person sessions or logging in to telehealth sessions more than 10 minutes late may result in your therapy appointment being canceled and rescheduled. You may be charged a practice fee of up to $125 for each cancellation that occurs with less than a 24-hour notice and up to $125 for each scheduled appointment that you fail to attend. For psychological testing and assessment, you may be charged up to $125 per scheduled hour of testing (i.e., if you are scheduled for a four-hour testing session, you may be charged up to $500 for a canceled or missed testing session. Because insurance companies and other third-party payers do not cover missed appointments, you will be personally responsible for costs incurred due to late cancellation of or failure to attend scheduled appointments.
• You are responsible for knowing and understanding your insurance benefits. While insurance benefits may be checked as a courtesy, you are ultimately responsible for knowing your insurance benefits and SLC cannot guarantee benefits or coverage of services. In the event that your insurance company declines to pay for care, you as the client are responsible for any charges related to provision of care. You are encouraged to contact your insurance provider to learn more about your benefits.
• You are responsible for communicating any insurance changes with SLC. SLC clinicians are not considered in-network with all insurance companies, and participation may vary by clinician. Failure to update insurance changes prior to the first appointment after the change may result in denied session coverage and you may be charged the full out-of-pocket cost for the session(s). 
• You are responsible for maintaining contact with your clinician. Your file will be closed following 60 days of inactivity, unless other arrangements have been made. You may resume treatment at any time; however, you may be required to complete a new initial appointment depending on how long it has been since your last appointment.
  
  You are responsible to promptly notify SLC of any insurance changes. Not all SLC providers are in- network with all insurance companies and changes in insurance may result in your clinician being out-of-network with your policy. Failure to update insurance changes prior to appointments may result in denied session coverage and you may be charged the full out-of-pocket cost for the session(s).
• You are responsible to assist SLC/SLC Front Office Staff regarding Coordination of Benefits (COB) issues with your insurance. SLC Front Office Staff may reach out to you when the insurance provider we have on file for you notifies SLC that there may be other health insurance that is active. You will have to call your insurance to update them with any other insurance policies (or lack thereof).
• You have the responsibility to conduct yourself in a non-disruptive and non-aggressive manner while on the premises. Emergency responders will be contacted if necessary.

Federal and State laws protect the privacy of communications between a client and a clinician. In most situations, a signed Authorization to Release form is required before your information will be shared. However, there are limits to confidentiality. Confidentiality will be broken in the event that your therapist believes you intend to harm yourself or others, if your therapist becomes concerned about possible harm/abuse/neglect of a dependent person, if your therapist is legally compelled to provide information, or if an insurance company audits your records. Additional standards and practices regarding your confidentiality are set forth in the Notice of Privacy Practices. State law requires therapists to report SUSPECTED abuse or neglect of children and vulnerable/elderly adults.

Recording of Sessions: To protect both client and clinician privacy, SLC prohibits audio recording, video recording, and AI-generated note recording of services unless all session participants, including the clinician, provide prior written consent. Unauthorized recording, distribution, or publication of any session may compromise confidentiality and may result in termination of services, referral to another provider, or other appropriate action when clinically and administratively appropriate. SLC clinicians reserve the right to decline participation in any recorded session.

Parents or guardians of minor clients who are not emancipated may be allowed by law to examine the minor’s treatment records. Clients over the age of 14 may consent to and may control access to information pertaining to their mental health treatment; however, this treatment may not extend beyond 12 sessions or 4 months without the consent of a guardian. The same limits to confidentiality, as described above, apply to minors.

The best care is typically achieved by collaboration by you, your mental health provider(s), and your medical provider(s) working together. As such, we routinely request your permission to inform your Primary Care Physician and/or Psychiatrist that you are receiving services at SLC. Unless otherwise required by your insurance company, you have the right to decline coordination of your care in part or whole. If you receive services from multiple providers at SLC, they will have access to your full record to coordinate care. They may also discuss your care amongst themselves to meet your treatment goals.

In compliance with state law, your therapist(s) will keep records of each service provided. Records will not be shared except with respect to the limits discussed in the Confidentiality section. Should you wish to have your or your child’s records released, an Authorization to Release Information must be completed. Records will be maintained for at least 7 years.

SLC complies with the Health Insurance Portability and Accountability Act (HIPAA) and other federal and state guidelines. It is important for you to know that your identifying information will be shared with certain companies that provide services for SLC. Specifically, to facilitate receipt of payment from third party payers and aid in account management, your contact information, insurance information, diagnosis, etc. will be provided to a billing company who also complies with HIPAA. Only information necessary for submitting for financial purposes will be made available to the billing company. Identifying information or client records may also be reviewed in the case of an insurance audit or as part of a credentialing process, or be made accessible to companies with which SLC is affiliated for specific purposes (e.g., electronic medical record maintenance). Additional standards and practices regarding your identifying information are set forth in the Notice of Privacy Practices.

All non-medicaid clients at SLC are required to have a signed Payment Authorization and working credit card on file for all account balances. SLC’s office team is generally available to answer calls, take messages and reschedule appointments from 9:00 AM to 5:00 PM Monday through Thursday and from 9:00 AM to 3:00 PM on Fridays. If calling after hours, clients may leave messages regarding canceling sessions on the SLC voicemail; however, payments cannot be made via voicemail. SLC’s office team may contact clients regarding outstanding balances, cancellation of appointments, or other matters to support the treatment process. Contact may be made via phone call, text message, or email.

In the event of an emergency, you can contact or go (if able) to the nearest crisis center (Macomb County: 586-307-9100; Oakland County: 248-456-0909; National Suicide Prevention Lifeline: 988 (call or text). You may also contact the nearest emergency room or call 911.

SLC therapists are generally not available for consultation outside of scheduled sessions. In the event that a clinician accepts phone calls or text messages between appointments, a fee for service may be assessed. Please ask your clinician(s) about how they would prefer to handle communication between sessions if this is a service you feel would be beneficial/necessary for your treatment.

Payment is expected at the time services are rendered, unless otherwise agreed or if covered by insurance. If costs of services go towards your deductible, they will be processed through insurance before payment is collected. Please note, this may result in several appointments processing together. Payment for other professional or administrative services may be required; please see ‘Fee Schedule’ below. A fee adjustment or a payment installment plan may be negotiated in circumstances of unusual financial hardship. Although a benefit summary may be provided, the client is ultimately responsible for knowing benefit information and for paying for service in full. If your client balance exceeds $200.00, service may be suspended, and a referral may be offered. If your account has not been paid for more than 90 days and arrangements for payment have not been agreed upon, legal action may be used to secure payment. This may involve hiring a collection agency or going through small claims court, which will require disclosure of otherwise confidential information. In most collection situations, the only information released regarding a client's treatment is his/her name, the nature of services provided, and the amount due. If such legal action is necessary, costs charged by the collection agency, courts, and other legal or associated fees will be the responsibility of the client. Upon request, you will be provided with the name and contact information of the current billing company and/or collections agency utilized by SLC. SLC may, without notice, opt to end its agreement with the current billing and/or collections company and enter into an agreement with an alternative company. In such situations, clients will be provided with the name and contact information for the new company upon request.

Mental health services can be processed two different ways by your insurance company – either with a copay or towards your deductible. While SLC will provide a complimentary benefit check for all clients, it is not a guarantee of benefits or coverage. It is the responsibility of each client to call their insurance company and verify benefits directly. Please note that SLC does not set the maximum allowable rates for services, and owed amounts are determined by your insurance.

By signing and submitting this document, I acknowledge that I have read and reviewed the information contained in this Client Contract & Consent for Treatment, including the Notice of Privacy Practices.

I understand the policies, practices, rights, responsibilities, fees, and conditions of treatment described in these documents and have had the opportunity to ask questions regarding any information I do not understand.

By providing my signature, I acknowledge receipt of the Notice of Privacy Practices and consent to treatment and the terms described in this Client Contract & Consent for Treatment.