I consent to participate in The Facilitated, Assistance, Referral Outreach (FARO) Wrap-Around Initiative which is offered to improve the overall Health and Wellness of the Community. Wrap-Around is a planning process that brings people together from different parts of the whole family’s life. GROW Unity Resources for Living is bringing together resources from our community partners in healthcare, mental health, education, housing, labor, justice, immigration, transportation, agriculture, religious/faith based and the environment to work together to coordinate services and assist and support the family goals and needs.
Cost: There is no cost to participate in the GROW Unity Resources for Living Community Wrap-Around initiative
Benefits: Participating in this study will give you an opportunity to add your ideas and opinions to recommendations around The FARO Wrap-Around Initiative services and reducing disparities in your community.
Risks: We do not anticipate any risks associated with participating in the program.
Families can expect:
• Provide demographic information such as name, address, gender, ethnicity, occupation, telephone number and household size and make up, types of services requested, COVID-19 test results and community contact tracing questionnaire results
• Contacted by GROW Unity Resources for Living staff to better understand your family needs to assist in providing services and conduct program evaluation and improve program effectiveness.
Compensation: There is no compensation to participate in the Wrap-Around initiative
Confidentiality: The FARO Initiative program lead Dr Lovell Jones will protect the confidentiality of the information that you share and your information will be maintained at CAN DO Houston Office, and no identifying information will be released to anyone outside of CAN DO Houston/ GROW Unity Resources for Living without your authorization. Information from this program will be used for program evaluation purposes and may be published; however, your name will not be used in any publications.
Media Release: I hereby grant permission to CAN DO Houston/GROW Unity Resources For Living to take and use photographs and/or videos taken of me (and my family) at the The FARO Initiative event in publications, online, and in other communications related to this mission of GROW Unity Resources For Living and/or alleviating health disparities.
Contact Information: If you have questions regarding the program contact Dr Lovell Jones, GROW Unity Resources for Living, 7524 Avenue E Houston, TX 77012 (713) 487-7038
Voluntary Participation: You do not have to participate if you do not want to. If you volunteer to participate, you may withdraw from it at any time without consequences of any kind. However, if you do not participate you will not be eligible for any follow-up services.
I am voluntarily participating in the FARO Initiative and its on-site COVID-19 testing and registration process. I hearby release CAN DO Houston, their representatives, agent, and successors from liability for accidental injury or illness which I may incur as a result of participating in the said COVID-19 testing and registration process.