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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.

 

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Adult Counseling

 

Child/Teen Therapy

 

Family/Couples Counseling

Domestic Relations Form: As a clinician working at the intersection of Domestic Relations (DR) and counseling, this form is deemed necessary in order for the role in therapy be clarified. The DR form is required for any participant in a divorce type situation where children are involved. 

Teletherapy Consent Form: This signed document is required for all Teletherapy and phone sessions.

Safe Haven Form: This written document is needed for all court-appointed Safe Haven/Harbor appointments.

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.

 

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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.

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