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Jan 29, 2017 . In addition to the Gold Card Application (Harris Health Financial Assistance Plan)
, you will also need to supply the following documents:. Birth certificate;
Marriage license; Hospital or birth records; Adoption paperwork; Harris county
voter card; Check stub; Social security card; Medicaid card; Medicare . financial assistance with HCHD, you may fax, mail, or drop off your application
with supporting documents at any Eligibility Center.. card bills etc). •.
HOUSEHOLD COMPOSITION. Proofs: birth certificate, baptismal record, death
certificate, most recent IRS 1040 form; Social Security Award letter for. Gold
Card #: . Harris County offers a subsidized health insurance program, the Gold Card, for
people who meet certain residency and income criteria. This program is funded
by the tax. Form filled out by the doctor. The easiest way to apply is filling out
the application online at this website. http://www.chipmedicaid.org/en/CHIP-
the brunswick advertiser & appeal. terms used in this section are not meant in any way to be hurtful or harmful to any persons. reader discretion is advised. The Anne Arundel County Government consists of Departments with Divisions as well as Boards & Commissions. These entities work together to serve our Citizen's needs. This article will provide you with a Gold Card application and the list of documents (proof of income, residence, etc) needed to apply. Houston Gold Card a safety net program which is apart of Harris Health System. Harris County Gold Card Program. There are many community members within our community, especially seniors and families with young TEENren, who do not have access to health insurance. To apply to the Harris Health Financial Assistance Program, formerly known as the Gold Card, go to HarrisHealth.org, download the application and mail the completed form with required documents to. Need information on How To Apply For Harris Health (Gold Card)? Harris Health/Gold Card is a safety net health program for residents of the Houston area. This article will provide you with links to a Gold Card application, additional documents needed, and a listing of eligibility centers to help you apply for services.
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