Welcome!

We are inviting youth and their parents to participate in Text4YourHealth by signing up to receive our text messages with tips, tools and resources to learn more about taking charge of your own health care. 

Before you register we would like to ask you to answer these few pre survey questions that will help us understand better what you already know or have learned from your doctors. For parents who are filling this survey out answer according to what the doctor has discussed with your youth. 

After these few questions you will be able to enter your information to sign up and begin taking charge of your own health care!

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* 1. Has your doctor talked with you about transitioning to a doctor that treats adults after you turn 18?

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* 2. Has your doctor talked with you about changing health needs as you become an adult?

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* 3. Has your doctor talked with you about how to maintain health insurance as an adult?

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* 4. Has your doctor encouraged you to take age-appropriate responsibility for managing your own health care?

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* 5. Parents please enter your contact information below

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* 6. Please enter your child's name

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* 7. Please enter your child's DOB

Date

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* 8. Will your child receive text messages to their own phone number?

Thank you for participating and encouraging your child to take charge of their own health care! 

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