Authorization for Release of Mental Health Information

At Living Pono Counseling we value each client with policies designed to ensure your best interests are being served.

Please review, sign and submit.

Release of Information

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Opening Hours:

Mon - Fri: 8am - 9pm 

​​Saturday: 8am - 5pm ​

Sunday: By Appt

Living Pono Counseling

1860 W Winchester Rd

Suite 205

Libertyville, IL 60048, USA

T: 224-424-4194

F: 224-424-4102

Living Pono Counseling

1800 Nations Drive 

Suite 222 

Gurnee, IL 60031

T: 224-424-4194

F: 224-424-4102

Living Pono Counseling

1431 Mchenry Rd

Ste 206

Buffalo Grove, IL 60089

T: 224-424-4194

F: 224-424-4102

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