Daily Care Support Services, LLC
Compliance Records Department

I, Thompson Family, as guardian of Maria S., give consent for Daily Care Support Services staff to accompany Maria on scheduled community outings as part of her Supported Living plan, including local transportation, group activities, and routine errands, on October 24, 2026.

☑ I understand outings are supervised by an assigned DSP at all times

☑ I consent to standard local transportation as needed

☑ I will be notified of any change to the planned outing