I agree By checking this box, I would like a representative to follow up with me by phone/SMS.
I authorize Applied ABA / Harmony Care Finder to collect, use, and share the information I provide, including my contact details and any records necessary to help connect me with services.
If an agency is identified that may be able to serve me, I authorize Applied ABA / Harmony Care Finder to share my information with that agency so they may contact me. I understand I may request a list of partner practices at any time.
I understand that this authorization is voluntary and that I may revoke my consent at any time.
