Healthier Texas Ladies. Mail or Fax The Application

Simple tips to Apply?

Apply On The Web

To use, you are able to fill the application out online here en Espanol or visit As soon as prepared, we shall require evidence of:

  • Your identification.
  • The income you will be making.
  • The income spent on kid child and care help.
  • Your citizenship and immigration status.

Please be aware: This online application works on desktop computers, although not on cell phones or pills. If you use one of these simple products, other application choices are the following.

You’ll install the proper execution en Espanol, fill it down by hand, and mail it or fax it to us at:

Healthier Texas Ladies P.O. Box 149021 Austin, TX 78714-9021 Fax (toll-free) 1-866-993-9971

You a letter asking for proof of your identity; the money you make; the amount of money you spend on child care or child support; and your citizenship or immigration status after we receive your form, we’ll send. Samples of evidence are given just below.

Apply Face-to-face. Samples of Proof We Want

You can put on at a hospital that provides Healthy Texas Women solutions. Fill out the shape during the hospital and you also might get solutions the exact same time. A participating can be found by you clinic using the discover a physician device towards the right.

Grab a credit card applicatoin type at a Women, Infants and kids (WIC) Nutrition Program workplace. Call 1-800-942-3678 (toll-free) to get a WIC workplace.

It is possible to submit an application for Healthy Texas Women over the telephone by calling 2-1-1. We could bring your call from 8 a.m. To 6 p.m. Central Time, to Friday monday.

Proof showing just how much cash you get:

  • Paycheck stub or content of a check through the final 60 times.
  • Kinds that some body in your household is with in an advantages system:
    • Your Texas Benefits Medicaid ID card for starters of one’s kiddies.
    • WIC verification of official certification ( this indicates you’re in the WIC program).
    • WIC voucher.
    • WIC / Lone Star Card grocery list.
  • A page from a manager.
  • Court documents that show you obtain son or daughter support.
  • Unemployment benefit award letter or pay stubs.
  • Supplemental protection Income award letter or pay stubs.

Proof showing just how much you spend:

  • Receipts or earnings taxation statements that demonstrate that which you pay money for daycare costs.
  • Court documents, canceled checks, wage withholding statements that demonstrate just how much you buy kid help.

Proof showing your identity and citizenship:

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  • A U.S. Passport.
  • A certification of naturalization.
  • A certification of U.S. Citizenship.
  • The 3 things above prove both citizenship and and citizenship

Evidence of Citizenship

Evidence of Identity

U.S. Delivery certificate

Present license with picture

U.S. Resident ID card

DPS ID card with picture (as an example: Texas ID card)

Hospital record of delivery

Work or college ID card with picture

North Mariana ID card

American Indian card with category code KIC

Spiritual record of delivery with date and put of delivery, such as for instance baptism record

Affidavit from 2 grownups developing the date and put of birth in the usa

A typical example of a product that presents evidence of immigration status can be an alien enrollment card or document through the Bureau for Citizenship and Immigration Services (formerly INS).

You must show citizenship, identity and immigration just one time. You don’t need certainly to deliver these things once again if you reapply.

Healthy Texas Women provides women’s health insurance and household planning solutions.

Whom can put on?

To obtain advantages of the program, you need to satisfy specific needs.

Issues & Answers

Get answers to questions about protection, advantages and much more.