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Think Twice Healthy Relationships Program

Our goal is to see the Yakima Valley become a healthier place with people who make safe and fully informed choices.


Think Twice provides scientifically and medically accurate information for teens in regards to health.

We address relationships from a healthy perspective, looking at the whole human being, not only as a sexual being. Sex has been inadequately linked to disease and pregnancy. We also link sex with healthy relationships and committed love. This empowers people to build strong families and to become great role models for their children.

The program gears students with valuable information on how to build healthy relationships with their self, families, peers, friends and ultimately, with their partners.


We believe that, as a community, we are not only responsible to protect and feed our children, but to awaken in them the desire for a healthy and fulfilled life, with goals and aspirations. We need to support them in making smart choices aimed at a better future.

Our presentation information was approved for statistical, factual, and medical accuracy, and each member of our medical advisory team gave enthusiastic support for our relationship and life-skills education. Think Twice is up to date on teen sexuality and is constantly being updated.


Think Twice is a healthy relationships program brought to you Life Choices Clinic & Care Center. Think Twice is part of the educational department of the clinic. It was started in 2015 as an interactive presentation for students on pregnancy and STD prevention. 

In 2019, Life Choices was awarded a federal grant, the Title V Competitive Sexual Risk Avoidance Education grant, to implement Think Twice on a larger scale. The grant falls under Adolescent Pregnancy Prevention. 

Think Twice now uses federally approved curricula, age-appropriate for both middle schools and high schools, and addresses students ages 11–19. 

In order to support schools and youth-based organizations challenging mission of training and equipping youth, the content of the program is frequently updated and revised with current information.

Both Relationship Smarts (RS) and Love Notes (LN) are medically and scientifically accurate, reviewed and approved by the Family and Youth Services Bureau. RS meets the guidelines outlined in the Healthy Relationships Act of 2017

LN is included in the federal Office of Adolescent Health’s Evidence-Based Program list, based on statistically significant decreases in sexual activity, increases in contraceptive use, and avoidance of pregnancy. These curricula apply to all students regardless of age, sexual orientation, or if they are sexually active or abstinent.

Think Twice Presentations fulfill Themes 1-8 of the Federal Guidelines for the abstinence portion of sexual education in compliance with the Healthy Relationships Act

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