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Your Story

 

Are You Uninsured or Underinsured?

 

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Are you uninsured or underinsured and live in the Greater Houston Area, we may be able to assist you in accessing the health care services that you and your family are seeking. Complete the attached form or call us at 713-783-4616.

If you have an URGENT health question, please call ASK YOUR NURSE immediately at 713.633.CALL(2233). This is a 24-hour/7 days a week, FREE service that has a nurse available to answer any of your health concerns.

 

Please note that Gateway to Care's focus is on the Southeast Texas Region.

Are you currently insured?

Yes   No

What type of services are you seeking?

CHIP/Medicaid        Immunization Information        Other         

 Other: Please be specific

If you have other concerns not listed, give us more detailed information in the space provided below:

Tell us how to get in touch with you:

Name
E-mail
Daytime Telephone
FAX

Please contact me as soon as possible regarding this matter.

 


 

 

 

 

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Last updated: 05/14/08.