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Forms and Information

WEBForms and Information Before your first appointment: - Please complete the Adult Intake Form or Adolescent Intake Form with Signature Page. - Please, review the Patient/Client …

Actived: 8 days ago

URL: http://www.fraukeschaefermd.com/forms-and-information.html

About Frauke Schaefer

WEBFrauke C. Schaefer, MD 1709 Legion Road, Suite 225 Chapel Hill, NC 27517 Tel (919) 357-7204 Fax (919) 929-7648 [email protected].

Category:  Health Go Health

Cost and Insurance

WEBFrauke C. Schaefer, MD 1709 Legion Road, Suite 225 Chapel Hill, NC 27517 Tel (919) 357-7204 Fax (919) 929-7648 [email protected]

Category:  Health Go Health

Office Hours and Communication

WEBFrauke C. Schaefer, MD 1709 Legion Road, Suite 225 Chapel Hill, NC 27517 Tel (919) 357-7204 Fax (919) 929-7648 [email protected]

Category:  Health Go Health

PSYCHIATRIST-PATIENT/CLIENT SERVICES AGREEMENT …

WEBYou should carefully read the section in your insurance coverage booklet that describes mental health services. If you have questions about the coverage, call your plan …

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FRAUKE C. SCHAEFER, MD, INC.

WEBDate:_____ FRAUKE C. SCHAEFER, MD, INC. 1709 Legion Rd., Suite 226, Chapel Hill, NC 27517 919-929-7640 Fax: 919-929-7648 Patient(s)/Client(s)Name_____

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www.fraukeschaefermd.com

WEBINFORMED CONSENT FOR IN-PERSON SERVICES DURING COVID-19 PUBLIC HEALTH CRISIS. This document contains important information about our decision …

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Frauke C. Schaefer, MD Psychiatry & Psychotherapy Tel (919) …

WEBExplanation of this Good Faith Estimate and Your Rights. The estimated costs are valid from the date of the Good Faith Estimate. This Good Faith Estimate shows the costs of …

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PRIVACY NOTICE Frauke C. Schaefer, MD, Inc. Policies and …

WEBJudicial or Administrative Proceedings: Right to an AccountingIf you are involved in a court proceeding, and a request is made for information about the professional services …

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Charles A. Schaefer, Ph.D., Inc.

WEBFRAUKE C. SCHAEFER, MD, INC. 1709 Legion Road, Suite 225, Chapel Hill, NC 27517 . 919.357.7204 (tel.)/ 919.929.7648 (fax) [email protected]

Category:  Health Go Health

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