I hereby consent to voluntarily participate in the development, implementation, and evaluation of my individualized Goal Plan. I understand that all elements of my plan may be reviewed, revised, and updated at any time as needed. I acknowledge that I will meet with my service team on a weekly to bi-weekly basis, as determined appropriate by A Step in the Right Direction (SRD) staff.

I affirm that I have read and/or been informed of my rights, as well as the potential risks associated with my participation in this service plan. I have also been made aware of alternative services that may be available and the possible risks of declining services. I authorize the agencies and individuals involved in this plan to share relevant information with one another for the purpose of supporting the goals outlined in my plan. I understand that any confidential information requires my signed Release of Information prior to disclosure, except in cases where disclosure is permitted or required by law.

I further acknowledge that I may be transported by SRD staff or contracted personnel in a private automobile or other form of transportation. I agree to release and hold harmless SRD and/or its contractors from liability for any injuries sustained by me and/or my child during such transportation, except in cases of intentional misconduct or gross negligence on the part of SRD or its contractors.

I understand that I may refuse or withdraw my consent to services at any time. I also acknowledge that I have been informed of the potential implications and consequences of such action.