ABA Service Agreement and Consent FormAba Service Agreement • November 15th, 2019
This document contains significant information relating to the Applied Behavior Analysis (ABA) services being presented and best practice policies on behalf of LifeSpeed: Behavioral Support Services, LLC (LifeSpeed). It is important that you read through this information carefully and ask questions at any time if anything is unclear. When you sign this document, it will represent an agreement for LifeSpeed to provide ABA services to you or to the person you are authorized to consent on behalf of (the Client). For the duration of services rendered please be aware that you and - if applicable - the person receiving services both reserve the right to withdraw from said services at any time without any penalty. LifeSpeed recognizes and complies with the Behavior Analyst Certification Board (BACB) Professional and Ethical Compliance Code for Behavior Analysts. A copy of this Code can be found at: https://www.bacb.com/wp-content/uploads/BACB-Compliance- Code-english_190318.pdf
ABA Service Agreement & Consent FormAba Service Agreement • May 23rd, 2022
This document encompasses important information regarding Club Spectrum ABA’s Applied Behavior Analysis (ABA) practice policies and professional services. It is necessary to thoroughly read through the following information (as well as information from the treatment plan) and ask for clarification at any time. Upon signing this agreement, you the consumer, will adhere to an agreement between you and Club Spectrum ABA to provide ABA services.
ABA SERVICE AGREEMENT AND CONSENT FORMAba Service Agreement • October 14th, 2020
This document contains important information about The Speech and Language Center, PLLC (SLC) applied behavior analysis (ABA) professional services and practice policies. It is important that you read through this information carefully and ask questions for clarification at any time. When you sign this document, it will represent an agreement between you and SLC to provide ABA services. You, the consumer, reserve the right to withdraw at any time from these services. Again, please feel free to contact SLC with any questions or concerns about SLC’s ABA Services at any time.
ABA Service Agreement and Consent FormAba Service Agreement • December 9th, 2015
This document contains significant information relating to the Applied Behavior Analysis (ABA) services being presented and best practice policies on behalf of LifeSpeed: Behavioral Support Services, LLC (LifeSpeed). It is important that you read through this information carefully and ask questions at any time if anything is unclear. When you sign this document, it will represent an agreement for a LifeSpeed to provide ABA services to you or to the person you are authorized to consent on behalf of (Client). For the duration of services rendered please be aware that you and - if applicable - the person receiving services both reserve the right to withdraw from said services at any time without any penalty. LifeSpeed recognizes and complies with the Behavior Analyst Certification Board (BACB) Guidelines for Responsible Conduct. A copy of these Guidelines can be found at the following site: http://www.bacb.com/index.php?page=57#2.
ABA Service Agreement & Consent FormAba Service Agreement • May 25th, 2021
This document encompasses important information regarding Stepping Stones ABA’s Applied Behavior Analysis (ABA) practice policies and professional services. It is necessary to thoroughly read through the following information (as well as information from the treatment plan) and ask for clarification at any time. Upon signing this agreement, you the consumer, will adhere to an agreement between you and Stepping Stones ABA to provide ABA services.
ABA Service Agreement and Consent FormAba Service Agreement • December 12th, 2012
This document contains important information about Grafton Integrated Health Network’s (GIHN) applied behavior analysis (ABA) professional services and practice policies. It is important that you read through this information carefully and ask questions for clarification at any time. When you sign this document, it will represent an agreement between you and GIHN to provide ABA services. You, the consumer, reserve the right to withdraw at any time from these services. Again, please feel free to contact GIHN with any questions or concerns about GIHN’s ABA Services at any time.
