Free Women's Health Care
Healthy Texas Women and Family Planning Services
Who can apply?
Women 18 to 64 yrs
(Women 15 to 17 yrs with parent or legal guardian)
Low income Texas resident, no health insurance, not pregnant
Your income
How do you prove it?
Paycheck stub or copy of a check from the last 60 days
Texas Benefits Medicaid ID card for one of your children
WIC certification, voucher; WIC/Lone Star Card shopping list
Letter from an employer
Court papers that show you get child support
Unemployment benefit award letter or pay stubs
Supplemental Security Income award letter or pay stubs
Your costs
How do you prove it?
Day care receipts or income tax returns showing day care costs
Child support payments: Court papers, canceled checks, wage withholding statements
What proves citizenship and identity?
Provide one
U.S. passport, Certificate of naturalization,Certificate of U.S. citizenship
If you don't have one of the above three documents, provide one
Provide one
U.S. birth certificate
U.S. citizen ID card
Hospital record of birth
Northern Mariana ID card
American Indian card with classification code KIC
Religious record of birth with date, place of birth such as baptism record
Affidavit from 2 adults establishing the date and place of birth in the United States
Health 4 U Clinic participates in the Healthy Texas Women's program
YOU MAY QUALIFY FOR FREE WOMEN'S HEALTH CARE
Provide one
Current driver's license with photo
DPS ID card with photo (for example: Texas ID card)Work or school ID card with photo
Free Women's Health Care
Healthy Texas Women and Family Planning Services
Preconception Health Screenings:
Obesity
Hypertension
Diabetes
Cholesterol
Smoking
Mental Health
Birth Control
Clinical Breast Exams
Pregnancy Testing and Counseling
Sexually transmitted infection (STI) testing
Sterilizations
Postpartum depression treatment
Immunizations
Chronic conditions treated:
Hypertension
Diabetes
High cholesterol
Bring the above information to determine your qualification to the program!
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Contact Info
3825 Yucca Ave
Suite # 129
Fort Worth, Texas 76111
1321 East Pioneer Parkway
Arlington, Texas 76010
817.759.CARE (2273)
info@health4uclinic.com
© 2023 Health 4 U Clinics