Help Me Grow Utah: Enrollment Form

Fill out the following pages of information. Once complete, a Parent Support Specialist will contact you to get you started with Help Me Grow Utah!

When using Help Me Grow Utah (HMGU), basic information is collected about your family and the services provided. With your permission, HMGU communicates with your family’s physician(s) and other providers. HMGU also teams with other entities to share data that gives an overall view of how Utah’s children are doing. With some places, your personal information will be shared only during data transfer. In all cases it will be removed before use in research, community coordination or to inform future decision making. By using HMGU services, you are consenting to the sharing of your information unless you ask otherwise. For more details, visit: helpmegrowutah.org or talk to a HMGU staff member.

Help Me Grow Utah: Enrollment Form

Enrollment

Help Me Grow Utah: Enrollment Form

Enrollment

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Help Me Grow Utah: Enrollment Form