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 2024 calendar year.
Client Name*
First Last
Parent or Legal Guardian's Name*
First Last
Signature*
Today's Date*
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