Get Thmp Application

The Thmp Application is essential for individuals seeking medication assistance through the Texas HIV Medication Program (THMP). This guide provides a comprehensive overview of the steps to effectively complete the application online, ensuring you provide all necessary information for eligibility.

Follow the steps to successfully complete the Thmp Application online.

1. Click ‘Get Form’ button to obtain the application and open it in your editor.
2. Begin with Section I – Personal Information. Enter your last name, first name, middle name, and any previous names. Include your social security number, sex, date of birth, primary language, and whether you are pregnant.
3. Proceed to Section II – Marital Status. Indicate your current marital status and provide your spouse's information if applicable.
4. In Section III – Household Information, list the number of people living in your home and complete the table with their names and ages.
5. Move to Section IV – Income, Employment and Benefits. Provide a brief explanation of your income situation and fill out tables related to your employment status and monthly income.
6. Section V – Health Insurance requires you to specify your current health care coverage. Include necessary documentation, such as a copy of your health insurance card.
7. Complete Section VI – Additional Information to clarify any details that may aid in processing your application.
8. Finally, in Section VII – Authorization and Applicant Certification, read, understand, and sign the certification that confirms the accuracy of your information.
9. Review the entire application for completeness, ensuring all required supporting documents are included. Save your changes, then you'll be ready to print and mail your completed application.

Ensure you submit your Thmp Application online today to secure your medication assistance.