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H H S Department of Health and Human Services
U.S. Department of Health and Human Services
Health Information Technology

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TXT4Tots is a library of short, evidence-based messages focused on nutrition and physical activity. The library is targeted to parents and caregivers of children, ages 1-5 years, and is available in English and Spanish. Content for the messages was derived from American Academy of Pediatrics (AAP) Bright Futures: Guidelines for Health Supervision of Infants, Children and Adolescents, which uses a developmentally based approach to address children’s health needs in the context of family and community.

The TXT4Tots library of messages were developed under a cooperative agreement between HRSA and the American Academy of Pediatrics (AAP) under Grant Award U04MC07853. HRSA  reserves a royalty-free, non-exclusive and irrevocable right to reproduce, publish, or otherwise use the Libraries for Federal purposes, and to authorize others to do so. HRSA will soon update this notice with the terms under which the general public may reproduce and redistribute the Libraries. Until this notice is updated, please direct permission requests to

The name TXT4Tots describes the library and does not necessarily imply the need for dissemination through mobile, SMS messaging.  

The TXT4Tots library is designed as a resource that can be incorporated into a wide variety of existing public and private programs and products that can meet the needs of parents, caregivers, and child advocates, including health providers. The intent is to enhance education and dissemination of the message content and leverage existing programs in innovative ways, particularly to support outreach to underserved communities.  

The goal of a library of messages focused on child health is never to supplant or replace the important relationships between the family and the pediatrician or the child’s medical home. Rather, a library of messages should enhance and strengthen these bonds by providing consistent, supportive, and reinforcing messaging beyond the medical home at a time when well child visits and contact with health care providers often becomes less frequent than in the first year of life.

Related Links

End User Agreement

Frequently Asked Questions

TXT4Tots Product Examples
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Bright Futures. Prevention and health promotion for infants, children, adolescents, and their families.