(Fourth Thursday of the month, open 7 a.m.-noon) (Second Wednesday of the month, open 8 a.m.-noon) (Fourth Thursday of the month, open 8 a.m.-noon) d. Drop-off your completed application and proof documents in the eligibility drop box at the following locations at the front door of each health center. c. Complete all sections on your application and attach proof documents. Drop-off a. Click on your preferred language to open the application ( English, Spanish, Vietnamese).d. Complete all sections on your application and attach your proof documents. b. Click on your preferred language to open the application ( English, Spanish, Vietnamese ) c. Print the application. 5) Patients who need to have a prescription filled or renewed in which Harris Health medical staff wrote. 4) Patients who need to schedule or reschedule a Harris Health medical appointment or a procedure. 3) Patients who have a surgical procedure scheduled at a Harris Health facility. Johnson hospital’s emergency room within the past 30 days and need a follow-up appointment. 2) Patients discharged from Ben Taub or Lyndon B. Johnson hospitals within the past 30 days and need a follow-up appointment. Expedite cases/Fast track eligibility application a. You must fall into one of the categories described below to apply at one of the health centers listed below (in the Drop off section) 1) Patients discharged from Ben Taub or Lyndon B. d. Mail your completed application to: Harris Health Financial Assistance Program P.O. Apply by mail a. Click on your preferred language to open the application ( English, Spanish, Vietnamese).You cannot use it to apply by mail or drop off. e. The online application is for electronic submissions only, using the link above. d. Complete all sections on the application and upload your proof documents. c. Click on the following link to find Harris Health’s Financial Assistance Application, along with instructions for the application process. b. If you have a Harris Health System medical record number, please have it available. A Harris Health System medical record number is not required to complete the online application. Apply online a. Please use one of the following web browsers to complete the online application: Google Chrome, Microsoft Edge, or Safari.Harris Health does not provide health insurance coverage under the Federal Health Insurance Marketplace Exchange.įor your convenience, you have several options to apply for Harris Health’s Financial Assistance Program. Harris Health System’s Financial Assistance Program is not an insurance plan. If you have questions regarding eligibility and how to apply or renew, call the Eligibility Call Center at 71. There is not a fee to apply for the Harris Health Financial Assistance Program. If you are asked for money to fill out and approve your application, do not send any money. Please report these incidents to Harris Health’s Compliance Hotline at 84. Proposed Budget, Tax Rate & Hearing Notices.Ambulatory Surgical Center (ASC) at LBJ Governing Body.Your access toįortBendCountyDivorceOnline’s website is subject to and governed by our Terms of use.Īny purchase from FortBendCountyDivorceOnline is subject to and governed by our Terms of Service. Official or public services that are available directly.Ĭommunications between you and FortBendCountyDivorceOnline are governed by ourīut are not covered by the attorney-client or work product privileges. FortBendCountyDivorceOnline does not assist with applications or payments for does not sell blank forms, and a user can download those on a court's website.įortBendCountyDivorceOnline does not provide assistance with the obtaining, renewal, updating, replacement, or search of official documents or information that can be obtained directlyįrom a government or government delegated provider. FortBendCountyDivorceOnline’s website and written instructions provide general information about theĭivorce process only we cannot give you any specific advice, opinions or recommendations as to your selection orĬompletion of forms or your particular legal rights, remedies or options. This website is not associated or affiliated with the state of Texas.ĭisclaimer: FortBendCountyDivorceOnline is not a law firm and its services, website, forms or templates are not a substitute for the advice or services of an attorney.įortBendCountyDivorceOnline provides access to computer-aided self-help services at your
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