Ben Alterman, Ph.D.
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Please print and sign this Consent Form in order to receive my services by clicking here. Do not sign it on-line. If you cannot bring a printed and signed 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.