Jenni Freemyer - Client Request Form

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Email *

Your Name

Contact Phone Number (with area code) *

Currently, Jenni Freemyer 's practice with Haven has limited opening slots for her to take on working with new clients. However, she still desires to have some availability to connect with new clients who have particular needs and who might find it difficult to find other counseling options. *

I understand that Jenni has limited openings in her schedule; and, if she is unable to work with me, she will help me connect with another provider.

If you were referred to Jenni specifically by someone, please write name of the person and/or group here (if you were not referred to Jenni specifically, or if you would prefer not to write anything here, you can leave this question blank)

If you have seen Jenni for a session in the last 6 months at Haven, you do not need to complete this form. Instead, go to www.haven.clientsecure.me and follow the prompts to log in as an "existing client"

If you want to see a list of other providers at with Haven Counseling Center, please visit at providers.havencounselors.com

Jenni currently very limited scholarship-rated counseling slots available in his schedule. Jenni's initial session rate is $197 (60 to 90 minutes), with all follow-up meetings at $147 per session (45 minutes). Jenni is out-of-network with most insurance plans, but Haven can provide you with a superbill for you to submit to your insurance provider for them to reimburse you directly according to your out-of-network benefits. *

I Understand that typical counseling sessions are $197 (1st time) and $147 for all that follow

If you decide to submit a request here to work with Jenni, please know that our ability to accommodate the request will still be subject to whatever limited opening's Jenni has available in her schedule for new clients. We will only respond to requests that can be accommodated. *

I Understand that I will only be contacted if Jenni has availability

Let us know briefly what you would like to address in counseling with Jenni *

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