A patient interface system (30) that includes a patient interface assembly (40) and a headgear assembly (70). The patient interface assembly (40) includes a frame (42), a patient circuit connector (44), a seal member (46), and a coupling assembly (50) extending from the frame. The coupling assembly (50) is directed toward the users forehead when worn. The headgear assembly (70) includes an elongated pad support (72), a headgear attachment element (78) disposed on the pad support (72), a headgear strap (80) coupled to the headgear attachment element (78), and an elongated headgear pad (74) coupled to the pad support (72). The pad support, pad, or both are configured so as to extend from the forehead of the user generally along a centerline of the head and terminate proximate to a top of a head. In addition, a coupling assembly attachment assembly (100) is operatively coupled to the pad support (72) to couple the coupling assembly (50) of the patient interface device to the headgear assembly (70).
