Speak with a Case Manager

Please keep in mind that Backline does not operate as Crisis Support. If you are experiencing a crisis, please reach out to the 988, the National Suicide + Crisis Line, or contact 911 for immediate help. Additionally, you can access a list of national crisis hotlines and resources broken down by state HERE.

TO COMPLETE A CASE MANAGEMENT PROGRAM, YOU:

1. Must be a US Resident AND
2. Must receive 50% or more income derived from music (venues, writing, touring, live event production) within the last two years OR
3. Spouses, partners, and children of qualifying individuals are also eligible for Backline's services.

What brings you to Backline? If you are struggling or need support in more than one area, please select 'add another response', and add as many as you need.

What is your annual income? (This information is collected only to help us better understand our community and improve our programs. It will never affect your ability to receive support through Backline.)

Anything else you would like us to know?

I understand that Backline is intended for informational and educational purposes only. It is not a substitute for psychotherapy, does not constitute medical advice, and is not a substitute for professional medical advice, diagnosis, or treatment. I will seek the advice of a physician, mental-health professional, or other qualified health provider with any questions regarding a medical or psychiatric condition.

I understand

I understand that this form is for requesting a Case Manager call only. Any requests for other Backline services or offerings can be made through the Contact Us page or discussed during the case management call.

I understand

Before you click Submit, please note:

We’ve recently upgraded our Case Management System to make it easier for us to connect you with the best possible referrals and resources. This new system helps us stay organized, communicate more effectively, and continue improving how we support music industry professionals and their families.

If you opted in to receive text messages to schedule your call, please allow 30–45 minutes for the message to arrive. Text messages are not sent between 9 p.m. and 8 a.m. EST. You will also receive the scheduling link by email and see it displayed on the screen once you submit this form.

If you do not receive an email to schedule your call with our Case Management team, are experiencing any issues with the form, or have any questions at all, please reach out to casemanager@backline.care for support.