top of page

 

Procedure, Policy, and Paperwork

After scheduling an appointment, please download and complete the relevant paperwork for your treatment. Submitting these intake forms in advance helps provide valuable information and maximizes our session time. Kindly email the completed forms to sbruenlpc@gmail.com.

Stacey takes pride in offering personal, one-on-one counseling sessions, ensuring complete confidentiality and discretion. For any questions about billing, treatment, or scheduling, please contact her directly.

 

bgImage

 

Adult Counseling

Adult Intake Form

 

Child/Teen Therapy

Child/Adolescent Intake Form

 

Family/Couple Therapy

Family Couple Therapy Form

​​​​

Release of Confidential Information Form: is required if you prefer this counselor to coordinate treatment (provide or receive information) with another professional, such as a psychiatrist, physician, court ordered specialist, etc.

*Stacey requires a 48-hour cancellation notice for new clients.

 

  • ​
bgImage










Support Resources

  • In the event of a severe or crisis situation, please call 911.
  • If in immediate crisis, call the      Banner Help Line at 602-254-4357 or Impact at 480-784-1500.

  • In case of an emergency, please go to the nearest emergency room.

bottom of page