I, Type a label understand that my signature below indicates that I have read and agree to the conditions set forth in the handbook. It does not indicate that I am waiving any of my rights. I understand I can choose to discuss my concerns with Aspire Care before commencing services for formal Applied Behavior Analysis (ABA) therapy. I understand that any of the points mentioned in the handbook can be discussed and may be open to change on a case-by-case basis. If at any time during the therapeutic treatment I have questions about any of the subjects discussed in this handbook, I can talk with my provider or his/her supervisor and Aspire Care will do its best to provide clean, concise answers. I understand that after ABA services begin, I have the right to withdraw my consent to continue services at any time, for any reason. However, I will make every effort to discuss my concerns with Aspire Care before ending ABA Therapy services.
I understand that no specific promises have been made to me by Aspire Care about the results of treatment or training, the effectiveness of the procedures used by this company or the number of sessions necessary for ABA to be effective. I have read, or have had read to me, the topics and points in this handbook. I discussed those points I did not understand, and I have had my questions, if any, fully answered. I agree to act according to the points covered in this handbook. I hereby agree to ABA services with Aspire Care and to cooperate fully to the best of my ability.