Patient Intake Forms
Please download, complete and return
the documents below
This and all other information relating to your association with Online Therapy and Counseling
Until Midnight/Dr. John Silver is regarded as strictly confidential and will not be shared with anyone without your signed consent.
Telemedicine informed consent form including and not limited to online therapy, chat, webcam, email, phone consultation.
Instructions Online Office & Paypal
Instructions for PayPal and Our HIPAA Compliant Online Office at
and Electronic Communication
Agreement regarding confidentiality, payments and electronic communications outside of the office
Online Client Contract
General Client Contract, Confidentiality and Fees