Ben Alterman, Ph.D.
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Please print and fill-out this Personal Information Form by clicking here. Do not fill it out on-line. If you cannot bring a printed and filled-out copy, I will provide it at our initial session.

Note If your computer does not have Adobe Acrobat Reader, it is available for free from In the "download" section of their home page, click on the link to "Adobe Acrobat Reader".

+ Last modified on July 24th, 2016.