Mary S. Reigel MS, LMFT
Psychotherapist, Consultant & Trainer
3336 Bradshaw Road, Suite 340 Sacramento, California
(916) 366-8026

Download Forms

The following forms are available in portable document format (PDF). You may need the free Adobe Acrobat Reader to view and print these forms. If you don't already have this software you can download it for free from Adobe.

Depending on the browser and settings you are using, when you click on the links below you will be prompted to download the form or the browser will just open the form in your browser window. In the later case the form can be printed directly from the browser.

Therapy Disclosure Form
First time clients: Please download, print, and carefully read the terms and conditions iterated in this statement. If you agree to these terms please sign the form and bring it with you to your first appointment.

New Client Intake Form
First time clients: Please download, print, complete and bring this form to your first appointment.

Notice of Privacy Form
First time clients: Please download, print, and sign this form for your records. There is a box to check on the Disclosure form that confirms you have a copy of the Notice of Privacy form.

e-mail Mary at mary@maryreigel.com

California Licensed Marraige, Family Therapist # MFC31887
Copywrite ©2006 Mary S. Reigel
3336 Bradshaw Road Suite 340
Sacramento, CA 95827