Forms

If you're a new client, please complete the following forms and bring them to your first therapy session:


If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete the following form to authorize release of psychotherapy information: 

The release authorization must also be signed for those wishing to use their insurance. 


Note: To download Adobe Acrobat Reader for free, Click here.

Contact Me

Sherry Rawiszer, LCSW

Monday:

12:00 pm-7:00 pm

Tuesday:

12:00 pm-7:00 pm

Wednesday:

12:00 pm-7:00 pm

Thursday:

12:00 pm-7:00 pm

Friday:

12:00 pm-5:00 pm

Saturday:

Closed

Sunday:

Closed