Consent and Waiver: I understand that I am not receiving any medical advice from MFAST. I am accepting behavioural consultation as suggested action, and I accept full personal responsibility for any harm or damage suffered as a result of your actions arising out of or in connection with the use of the behavioural advice given by MFAST. I agree to use judgment and conduct due diligence to verify any information obtained before taking any action or implementing any suggestions or recommendations from MFAST. In addition, I, for myself, my child, any of my personal representatives, heirs, or successors, release and discard Moving Forward Autism Services & Tools INC. from all and any claims and cause of action I may ever have in connection with the above event and waive all my rights thereto. My signature verifies that I have read and understood the above and agree to each term. I also understand that all fees are nonrefundable. Any scheduled sessions that are canceled less then 24hrs in advance will not be rescheduled. Please Print name below to indicate your agreement with the above: *