HARRIS COUNTY HOSPITAL DISTRICT

EARLY DETECTION, PREVENTION, AND

COMMUNITY OUTREACH DIVISION

· Health Education

· Assistance with completing the application

WHERE: Spring Branch Family Development Center

ADDRESS: 8575 Pitner Rd

WHEN: The second Thursday of every month

TIME: 8:30 a.m. – 12 p.m.

There are 50 slots for interviews on site. First come first served.

FOR THE “GOLD CARD” YOU MUST BRING*:

1. One valid Texas ID for you and for your spouse, if applicable

2. Birth certificates for dependents

3. TWO current documents/ bills showing where you live for

the last 60 days

4. ALL documents showing income and/or paycheck stubs for

the last 30 days

5. ALL insurance documents, if applicable

6. ALL INS (Immigration) documents, if applicable

7. Medicaid Letter for current month, if applicable

8. Medicare Identification Card, if applicable

9. Social Security Award Letter

10. Bank statements (dated for the last 30 days), if applicable

11. ALL credit card statements (for the last 30 days), if applicable

12. Food stamp certification or TANF Certification, if applicable

*These are minimum requirements depending on each individual situation. If you have eligibility questions, call the South Loop Registration Center at 713-643-3691.