WebThe consent submitted will only can used for data editing originating from this website. Wenn you would like to change your settings or withdraw consent at whatever time, the link in do thus is in our privacy general accesible from to home page.. Gold Card Application - Fill Online, Printable, Fillable, Blank pdfFiller WebQuick steps to complete and e-sign Gold card application form online: Use Get Form or simply click on the template preview to open it in the editor. Start completing the fillable fields and carefully type in required information. ... Visit a Harris Health Eligibility Center to pick up an application. You can have an application mailed to you by ...
How To Renew Your Houston Gold Card Insurance How to Get …
WebFor your first Harris Health visit, please note the following: You should arrive at least 30 minutes before your appointment time so that you can be signed in by our registration staff. You will need a picture ID such as a driver’s license. If appropriate to your visit, please bring any available X-rays or scans from outside physicians. WebOct 12, 2024 · Harris Health System Eligibility Centers. Here is the list of eligibility centers to help you apply for the Gold Card. Acres Home Eligibility Center. 818 Ringold Street Houston, TX 77088 713.566.6509 Hours: 7 am 4 pm M-F, Fourth Thursday of every month, open 7 am 11 am mark weymouth michigan
What Medical Services Does The Harris Health Gold Card Cover?
WebTF0001; (16) Harris Health System-Statement of Self Employment Income Form if no tax return is filed; (17) Harris Health System-Wage Verification Form (for cash and personal check wages only); and (18) Harris Health System-Statement of Support Form, if no income. 3. Address with your name or your spouse’s name: WebThe consent submitted will only can used for data editing originating from this website. Wenn you would like to change your settings or withdraw consent at whatever time, the link in … WebJan 5, 2024 · The Harris Health Gold Card might be an option also. With that, they’d have access to the Harris Health Dental clinics which one I believe is located in SW Houston. ... To get Gold Card they would have to either print/mail an application or visit a Harris Health Eligibility Center to complete one. This seems to be the closest to that area at ... nazareth powder puff