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JPS Health Network 5/24/10 Application for JPS Connection Program *Must provide proof of residence (example - utility bill, lease agreement) Name: Maiden Name: (Last) (First) (MI) Please check primary.

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If you feel the need for an emergency tooth extraction, please contact a dentist immediately. For anyone who doesn't have a regular dentist, 1-800-DENTIST can put you in touch with one right away.

Phone an Eligibility & Enrollment specialist at 817-702-1001 between the hours of 8:00 am and 5:00 pm. Download and complete the application from JPS Health Network website at jpsconnection.org. Write or visit the Eligibility & Enrollment Department at 1325 S. Main Street, Fort Worth, TX 76104.

Call Texas Health Steps toll-free, Monday through Friday, at 1-877-847-8377 (1-877-THSTEPS) for help finding a dentist or getting a dental checkup.

JPS Foundation is a non-profit organization established to secure gifts and grants to support JPS Health Network and its programs such as women and infant services, behavioral healthcare and HIV/AIDS care, Arts in Medicine, Care for the Caregiver initiatives, new equipment for JPS clinics and department units, ...

JPS dental clinics offer a full menu of services for patients of all ages including dental exams, x-rays, teeth cleaning, cavity fillings, tooth extractions and denture work. Taking care of your teeth and gums isn't just about preventing cavities. The mouth is a gateway into your body's overall health.

About JPS Health NetworkJPS is a teaching facility. It is the site of the nation's largest hospital-based Family Medicine residency program. JPS Health Network operates John Peter Smith Hospital, a 573-bed acute care facility in Fort Worth, Texas. John Peter Smith Hospital provides emergency services and trauma care.

John Peter Smith Hospital (also known as JPS Hospital) is a Level 1 Trauma Center, 573-bed county hospital located in Fort Worth, Texas that provides inpatient, outpatient and behavioral healthcare.

JPS Connection provides affordable access to healthcare with inexpensive co-pays for doctor appointments, specialized care and prescriptions. Protect your family's health and finances by applying for JPS Connection today.

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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