Appointment Request

To schedule an appointment or to obtain additional information about counseling services, please fill out the information below or call Stacy at 952-215-5208.

After scheduling your appointment, please review the Helpful Forms Page to print the applicable forms. Bring in the completed forms with you to your first appointment. If your information has changed or it is over a year old, please complete updated forms and bring it with you to your next appointment.

Free 30-40 Minute No-Obligation Consultation/Visit

To set up a free 30-40 minute No-Obligation Consultation/Visit, call Stacy at 952-215-5208 or fill out the e-mail form below. If you are e-mailing below, please state that you would like a consultation/visit.  * Please note that if you schedule a free 30-40 minute consultation/visit and do not make the appointment, the next step, if you should continue with me, would be to schedule a paid 60 minute session.  There is one opportunity for a free consultation/visit.

I am committed to your privacy. Do not include confidential or private information regarding your health condition in this form or any other form found on this website.This form is for general questions or messages to the practitioner.

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