TX HHS Form 5108. Youth Prevention Universal Family Focused Participation Letter

TX HHS Form 5108. Youth Prevention Universal Family Focused Participation Letter

The TX HHS Form 5108, Youth Prevention Universal Family Focused Participation Letter, is a consent form designed to engage youths and their families in activities that promote healthy communication and strengthen the family unit. This form helps solve the problem of ensuring parental/guardian awareness and participation in prevention programs, typically used in situations where organizations partner with schools or community sites to provide tested and proven prevention programs.

This form requires parents/guardians to provide basic information about their youth's participation in the Strengthening Families Program. Key features include the program's goal of promoting healthy communication and strengthening family units, as well as the absence of cost for participating families. The form also outlines the program's structure, including [Enter Number of Sessions] weekly lessons held at Enter School/Community Site's Name].

If you would like more information about this program or have questions or concerns, please contact [Enter Prevention Director's Name], Program Director for [Enter Organization Name], at [Enter Prevention Director's Phone Number] or [Enter Prevention Director's Email Address]. The consent form expires August 31, [Enter Current HHSC Fiscal Year]. Forms may be returned to [Enter School/Community Site's Name] or sent to [Enter Organization Name] at [Enter Organization's Mailing Address], [Enter Organization's Fax Number], or [Enter Organization's Email Address].

  • This form is used for youths and their families participating in the Strengthening Families Program.
  • The program consists of [Enter Number of Sessions] weekly lessons held at Enter School/Community Site's Name].
  • Participation is voluntary, with no cost to the family.
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SourcePage: 
https://www.hhs.texas.gov/regulations/forms/5000-5999/form-5108-youth-prevention-universal-family-focused-participation-letter