Policies & Forms

All policies and intake forms will be electronically filled out and signed via the online patient portal once new patient comprehensive evaluation appointment is scheduled. 
Please do NOT print/sign/email these documents.  

New Patient Intake Packet

New Patient Intake Packet, Frische Psychiatry.pdf

General Consent to Treatment Form

GENERAL CONSENT TO TREATMENT 2024.pdf

Telemental Health Services Consent Form

Consent for Telemental Health Services_Frische_Fillable.pdf

Credit Card Policy and Consent Form

Credit Card Policy and Form_Frische_Fillable.pdf

Privacy Rights and Information Form (HIPPA)

Privacy Authorization Form_Frische_Fillable.pdf

Mental Health Privacy, FAQ

hipaa-privacy-rule-and-sharing-info-related-to-mental-health.pdf

Out of Network Insurance Guide

2024 Insurance Out of Network Guide.docx.pdf

Patient Rights and Responsibilities

Patient Rights and Responsibilities Policy_Frische.pdf

Social Media Policy 

Social Media Policy_Frische.pdf

Release of Information Form

Release of Information_Frische_Fillable.pdf

Controlled Substance Prescription Agreement

Frische Psychiatry Controlled Substance Agreement.pdf

Medicare Private Contract 

Patient Medicare Opt Out Contract Agreement_Frische Psychiatry.pdf

Good Faith Estimate/ No Surprises Act Notification

EXAMPLE GFE Frische Psychiatry Frische Psychiatry Good Faith Estimate Template.docx.pdf