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  • Harris Health System Gold Card Form

Get Harris Health System Gold Card Form

Gold Card Purchase & Renewal Application 2014 Revised 7/24/14 Email completed applications with required documents (see page 2) to: goldcards helenbrett.com Gold Card membership benefits: Entrance.

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Texas I.D. or drivers license stating the person lives in Harris County. Social Security Card. Citizenship(Passport or Birth Certificate) or Green Card. Proof of income (1 months check stubs) Any bills or bank statement (within 60 days) Income tax (if necessary) Medicaid or CHIP card (if necessary)

To receive help applying for Harris Health (Gold Card) you must call the City of Houston appointment line at 832.393. 5427.

To receive help applying for Harris Health (Gold Card) you must call the City of Houston appointment line at 832.393. 5427.

Possible proof: birth certificate; baptismal record; most recent IRS 1040 form; Social Security Award letter for dependents; school documents; insurance documents; U.S. Immigration application; divorce or child support decree; baby's Popras form, birth fact record, or hospital armband); proof of school enrollment for ...

Your Gold Card entitles you to a broad range of treatments and services including hospital accommodation, theatre fees, intensive care, GP services, referred specialist services, allied health, dental care, optical services and ambulance cover.

The Gold Card is Harris County's healthcare financial assistance for low-income Harris County residents. ... Although patients with Gold Cards receive fewer benefits than those with traditional health insurance plans, the Gold Card is still a lifeline, making medications and clinic visits more affordable.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232