2024 Consent to Treat - Montessori Autism Programs and Services, Inc.

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*