New Patient Interest Form
Polar Star Behavioral Health is here for you and your child. Our dedicated team is here to guide you through ABA therapy options for your child. Complete this brief form, and we’ll respond within one business day to begin crafting a personalized plan.
Disclaimer: Use of this website to submit information may not be completely secure or HIPAA compliant. The use of the Internet or this form for communication with our Company or any individual member of our Company does not establish a professional relationship. Confidential or time-sensitive material should not be submitted using this form and there is not a guarantee of a response time or a response at all, although we do our best to respond to each inquiry. Submitting this form confirms my understanding.
