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

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