Please help the Pennsylvania Department of Health, Bureau of Family Health find out what is needed to support transition age youth with special health care needs/disabilities. The Bureau is working with PEAL to outreach to families and will be asking questions about transition planning, bullying, safe relationships, and reproductive health and sexuality.

A $25 Gift Card will be provided per family. We are looking for young adults (12–21) to participate by themselves and also for young adults to participate with their family member to support communication. You can view the flyer for more details here.

Registration for Youth Only
If you are younger than 18, please ask your parent/guardian to register with you.
REGISTER

Registration for Youth Attending with Parent/Family Caregiver
REGISTER

You will need to fill out a form to receive your $25 gift card. If you are ages 12–17 and participating alone in the focus group, you will need parent signatures to receive a gift card and a release form to participate. The links to complete the forms below. Please save and send to Mary Hartley, whose contact information is also below.

• Parent Consent Form
• Gift Card Honorarium Form

If you need any accommodations, support, or have questions, please contact Mary Hartley via email or call (412) 281-4404, ext. 208. We are happy to help!