Form H1867 R Fill Out Sign Online And Download Fillable Pdf Texas Pick up an application form at a women, infants and children (wic) nutrition program office. call 1 800 942 3678 (toll free) to find a wic office. by phone. you can apply for healthy texas women over the phone by calling 2 1 1. we can take your call from 8 a.m. to 6 p.m. central time, monday to friday. examples of proof we need. The facts you provide in connection with this application may be checked by the texas health and human services commission (hhsc) and other state agencies. by signing this, you agree that the facts you have given may be used to determine if you qualify for the texas women’s health program, run by hhsc.
Form T H1867 E тйб Fill Out Printable Pdf Forms Online This program offers reproductive health and family planning services at little or no cost to eligible women and men in texas. want to talk to someone about healthcare choices available for women with low income? call 2 1 1. pick a language and then press 2. if you can’t connect to 2 1 1, call 1 877 541 7905 (toll free). You can receive these benefits if you: are a woman between the ages of 18 to 44 years old. a woman is considered 18 years of age on the day of her 18th birthday and 44 years of age through the last day of the month of her 45th birthday. are a woman between the ages of 15 to 17 years old and have a parent or legal guardian apply, renew, and. T h1867 e.pdf. healthy texas women application form. the healthy texas women program offers services such as woman's health exams, health screenings and birth control. fill in facts about yourself the woman who is applying for benefits. first name *. Healthy texas women program the healthy texas women (htw) program expands access to women’s health and family planning services for eligible, low income women. the program goals are to: • reduce unintended pregnancies. • positively affect the outcome of future pregnancies. • positively impact the health and well being of women and their.
How To Apply For The Healthy Texas Women Program In Houston T h1867 e.pdf. healthy texas women application form. the healthy texas women program offers services such as woman's health exams, health screenings and birth control. fill in facts about yourself the woman who is applying for benefits. first name *. Healthy texas women program the healthy texas women (htw) program expands access to women’s health and family planning services for eligible, low income women. the program goals are to: • reduce unintended pregnancies. • positively affect the outcome of future pregnancies. • positively impact the health and well being of women and their. 8. healthy texas women provides free women’s health and family planning services for women ages 15 44. to keep your participation in healthy texas women private, you can get letters about the program at a different address than what is on your application. fill out the section below to use a confidential address and phone number:. W—111 type of assistance (ta) 41 – ma – healthy texas women. revision 21 3; effective july 1, 2021. to be eligible for htw, applicants must: be female, 15 through 44; a parent or legal guardian must apply on behalf of applicants 15 17; have countable income of less than or equal to 204.2% of the federal poverty level;.
Comments are closed.