Julie Portnoy LCSW

Julie Portnoy LCSWJulie Portnoy LCSWJulie Portnoy LCSW
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Julie Portnoy LCSW

Julie Portnoy LCSWJulie Portnoy LCSWJulie Portnoy LCSW
  • Home
  • About Julie
  • for patients & parents
  • Contact

INTAKE FORMS

Download the Consent to Treatment form and Hippa Receipt, sign and return at your first appointment. 

HIPPA Notice (pdf)

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HIPPA Receipt (pdf)

Download

Consent to Treatment (pdf)

Download

Release of Information (pdf)

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Contact Julie

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Tel: 312-576-8517

Julie@JuliePortnoyLCSW.com

Hours

Open today

04:00 pm – 08:00 pm

Copyright © 2021 Julie Portnoy LCSW - All Rights Reserved.

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