Building Bridges Consent Form - West Texas Rehab

Building Bridges Consent Form

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WHO: Children and Teens grades K-12th

WHAT: Building Bridges – A program for grieving children and their families

WHEN: 6 Tuesday Nights: September 9th – October 14th

WHERE: West Texas Rehab Campus – West Texas Rehab’s Conference Center
1925 University Ave, San Angelo, TX 76904

TIME: 6:30 PM – 7:30 PM

FEE: There is no charge to attend


The purpose of the Building Bridges program is to provide a unique support group for children and teens who have experienced loss through the death of someone significant in their lives. During this program, children and teens in grades K-12 will be given the opportunity to (1) recognize and express their feelings, (2) build self-esteem through validation, (3) receive guidance as they adapt to the changes in their families, and (4) develop skills in dealing with loss that they may utilize throughout life.

Running concurrently with each children’s session is an adult group created uniquely for parents and caregivers. This group is designed to help parents and caregivers have a better understanding of the changes going on with their children. An adult caregiver must remain on campus for the duration of each child session.

Referrals can be made by calling the Hospice of San Angelo Bereavement Department at (325) 658-6524 or emailing kturpen@wtrc.com.

THE PARENT CONSENT FORM SHOULD BE SIGNED AND RETURNED TO THE HOSPICE OF SAN ANGELO OFFICE PRIOR TO SEPTEMBER 8th FOR THE FALL 2025 SESSION.

Please fill out a consent form for each child attending the Building Bridges sessions.

Questions/Additional Information contact: Hospice of San Angelo Bereavement Department at (325) 658-6524 or email kturpen@wtrc.com.

Please keep this fact sheet for your future reference. Thank you!


Download Printable Consent Form (PDF)