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Appointment and Contact Information

New Client Paperwork

 Please click on the following links to read and sign the following documents: 

Whispering White Horse Release of Liability, Signature Page, Disclosure Statement,Release of Information, and Informed Consent for Telehealth Services. For your information: HIPAA Privacy Notice.

Name*

Email Address*

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Phone

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** Psychotherapy caseload is FULL - not accepting new clients at this time. Please call directly for clinical consultation availability. **


Virtual or in-office sessions are offered Sunday through Friday with day and evening hours. The office is closed on Saturdays. Whispering White Horse Stables is located in Marengo, IL on Route 23, just Southwest of Kishwaukee Valley Road.


I accept BlueCross BlueShield PPO plans and self-pay. I do not offer a sliding scale. Please contact your insurance provider (prior to making an appointment) to inquire if I am in your specific network  (Note: I am unable to accept Medicare or Medicaid). Individual sessions are 55 minutes with a fee of $155. Couples sessions are 55 minutes with a fee of $175.


Please note that I have a strict 24 hour cancellation policy. Should you cancel under 24 hours a $50 fee applies and must be paid prior to your next scheduled session. If you cancel on the same day as your scheduled appointment a $75 fee applies to be paid prior to your next scheduled session. Account balances can be paid through your client portal account or through Venmo (@Jenn-Pagone) or Zelle  (jennpagone@yahoo.com)


Click on the button below to create a new client account. Booking appointments using the on-line system is easy and user-friendly.

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