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Navigation Menu
Navigation Menu
Home
About Us
Mission & Philosophy
Our Staff
Programs
MAPS Center Based Programs
MAPS Outreach Programs
School Services/NPA
Admissions
Pre-Enrollment Packet
Insurance Enrollment Process
Alta Enrollment Process
Client Enrollment Packet
Parent Calendar
MAPS HIPAA Privacy Policy
Testimonials
Careers
Employment Application
MAPS Friends and Volunteers
Volunteer Enrollment
Volunteer Packet
Teens and Young Adults
Compass Counseling Center
Psychotherapy Inquiry
Meet our Therapists
2025 Annual Re-Enrollment Demographics
2025 Consent to Treat
2025 Consent to Treat
Consent to Treat
Consent to Treat
Consent
I, the parent or legal guardian, hereby consent to medical care for the welfare of my child while said child is under the care of MAPS; Montessori Autism Programs and Services, Inc. for the 2025 calendar year.
Client Name
*
First
Last
Parent or Legal Guardian's Name
*
First
Last
Signature
*
Today's Date
*
MM slash DD slash YYYY
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