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How to apply

First, see Who can get coverage, to see if the children in your family might be eligible.

Next, get a brochure, an application form and a checklist. You can download these on this website, or call and ask to have these mailed to you.

Download application items

• Get the application form
• Get the brochure
• Get the application checklist

Note: These items are Acrobat pdf files and will open in a new window.

 

 

You can read or print the files. You need Acrobat Reader to view these files. If you don't have this program, you can download it for free.

Or, ask to get application items in the mail

• Call 1-877-552-4642. Say you want to apply for Healthy Connections Kids.

Completing your application

Fill out your application. Then, mail it or bring it to your DHHS office. To call or find a DHHS office near you, see this list of DHHS offices.