Forms

Here are the standard download forms for Dr. Mary Freitag. They are editable – you can fill them out on your computer and email them back. Or you can print the forms, fill them out by hand, and bring them to your appointment.

To download the forms, right click on the link (on a Mac, ctrl-clck) and select "Save Target As" or "Save Link As" or "Download Linked File As" to save it to your desktop.

You can complete the saved forms using Adobe Reader – get it here. If you are on a Mac, the built-in Preview program works too.

You can also fill out the forms online. Simply click on the link for each form and complete it right in your browser (Chrome, Firefox, Safari, or others). When done, select File > Save As to save the completed form to your desktop, then attach them all in an email to Dr. Freitag.

Forms to be completed for your therapy session:

Patient Registration Form

Find out what my insurance plan will cover and what may be out of pocket costs to me

Telehealth Consent Form

New Patient Consent Form

Adult Intake Form

Patient Health Questionaire

GAD-7

Additional informational forms:

Policy Statement

HIPAA Statement

Please call Dr. Freitag at 651-357-3216 if you have any questions.