We Have All The Resources We Need or We Can Create Them.
Procedure and Policy Information
Once you have scheduled an appointment, please download and fill out the appropriate paperwork that coincides with the treatment you are seeking. The completed intake forms will provide valuable information and reduce the amount of time in session gathering historical/relative information. Please email the intake paperwork to [email protected]
I take pride in providing personal and one-on-one counseling sessions. This allows for complete confidentiality and discretion. Any questions regarding billing, treatment, or scheduling, all go through Stacey.
Paperwork
Once you have scheduled an appointment, please download and fill out the appropriate paperwork that coincides with the treatment you are seeking. The completed intake forms will provide valuable information and reduce the amount of time in session gathering historical/relative information. Please email the intake paperwork to [email protected]
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.
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Support Resources
If an Emergency go to the closest emergency room.
