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206-304-1954
mayda@innerwellcounseling.com
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Client Forms

If you are new to therapy with Mayda Taney, be sure to download and fill out the following forms, and bring them to your first session. This will ease you into therapy, and allow us as much time as possible to focus on you.

  • Client Contact Information Sheet
  • Limits of Confidentiality

If you think that you would like to have your sessions collaborated with another therapist or counselor, just fill out the following form, and we can set that up.

  • Authorization for Release of Information
Madeleine F. Taney M.A., M.Ed., LMHC, ATR-BC
OLYMPUS DIGITAL CAMERA 31811 Pac Hwy S. B-183
Federal Way, WA 98003

206-304-1954
mayda@innerwellcounseling.com
- American Art Therapy Association
- American Counseling Association
- American Mental Health Counselor Association
By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.
  • 31811 Pac Hwy S. B-183
    Federal Way, WA 98003
  • 206-304-1954  |  mayda@innerwellcounseling.com
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