Ben Alterman, Ph.D.
Home Contact About Directions Site Map
Services Provided Issues Addressed Initial Session Topics of Interest
Instructions For Initial Visit
Personal Information Form
Consent Form
Charges & Insurance

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 www.Adobe.com. In the "download" section of their home page, click on the link to "Adobe Acrobat Reader".

+ Last modified on July 24th, 2016.