Stay connected to your health form

Stay connected to your health.

Sign up to receive health education, screening reminders, and care coordination support from your community health worker.

Your information

All fields marked with * are required. Your information is kept confidential.

First name *Last name *Phone number *Email address Date of birth *ZIP code *Preferred language *

By checking the box below, you agree to receive text messages from Heart of a Giant Foundation regarding health education, appointment reminders, cardiometabolic screening follow-up, and care coordination updates. Message and data rates may apply. Message frequency varies. Reply STOP to unsubscribe at any time. Reply HELP for assistance. See our Privacy Policy and Terms of Service.

Yes, I agree to receive SMS messages from Heart of a Giant Foundation. I understand this is not a condition of receiving services, and I can opt out at any time by replying STOP.

At in-person events: If you are completing this form with a community health worker, they may also confirm your consent verbally. You can say yes or no. Either way, you will still receive our services.

Consent to SMS is not required to receive our services.

Questions? Call (617) 294-9617 or email info@heartofagiant.org.