Thrive Virginia

Healthy Families - Consent to Participate

The Healthy Families Program at Thrive Virginia is a free, voluntary program for parents and/or caregivers. It provides long-term home visitation services beginning prenatally and continuing until your child enters school. The goal of this program is to build a strong family and parent-child interaction.

By signing this agreement, I consent to participate in this program and agree to have a Family Support Specialist visit with me in my home and take photos for media use for the agency.

Participant Name and Email:

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Thrive Virginia
Signature Certificate
Document name: Healthy Families - Consent to Participate
Unique Document ID: ba8365ccb98cd7d89ef0d62353e35f0afbf88455
Timestamp Audit
April 22, 2020 8:44 am EDTHealthy Families - Consent to Participate Uploaded by James Andrews - IP