Forms

Marriage and Family Therapy

Mary Lee Schrader, MA, LAMFT

Patient Registration Form

Release of Information

Consent for Therapy

Fees and Policies Agreement

Rcpt of Privacy Practice Notice

Notice of Privacy Practices

If you are a new client, it is helpful if you print and complete the following forms and bring with you to your first visit. (Click on the corresponding buttons on the left.)

Patient Registration Form
Consent for Therapy
Fees and Policies Agreement
Release of Information
Receipt of Privacy Policy Notice

This will save us precious time during your session. If you have trouble printing them or have questions filling them out, they can be completed in our office.

Please read the Notice of Privacy Practices before signing the Receipt of Privacy Practices Notice. It is not necessary to print the Notice of Privacy Practices.