File name: Harris County Gold Card Application Pdf

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👉Harris County Gold Card Application Pdf

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Para obtener la asistencia financiera de Harris Health, debe completar la “Solicitud de asistencia financiera” de Harris Health. Asegúrese de que usted, su cónyuge y TODOS sus hijos de 18 a Missing: Gold Card. How do I apply? If you have questions regarding eligibility and how to apply, renew or obtain the status of your application, call the Eligibility Call Center at The call center is Missing: Pdf. There is no cost to make a Harris Health Financial Assistance Application. If you are asked to pay, please call Fill out the form called “Application for Financial Assistance.”.  GOLD CARD APPLICATION & RENEWAL You can mail out the documents to: Harris Health Financial Assistance Program, P.O. Box , Houston, TX For renewal applicants (except for Medicare applicants) if your name, address, marital, or legal status. Oct 19, · Low-income Harris County, Texas residents who find themselves in need of medical care can apply for Harris Health, formally known as the Gold Card. Applicants must fill out a form and provide supporting documentation to see if they qualify. To obtain Harris Health financial assistance you must complete Harris Health’s “Application for Financial Assistance.” Be sure you, your spouse, and ALL children between 18 and 26 years old who live with you sign and date the form.