Please complete an Application only after speaking with our team and being invited to apply.
If you think you may qualify for services, please call 214-821-3820 for a pre-screening. If you qualify, you will be directed as to which forms below to download and complete.
What You May Need
To complete your application, you may be asked to provide:
- Proof of income
- Valid identification
- Medical information (such as imaging reports or a provider referral, if applicable)
Need Help Completing Forms?
Call: 214-821-3820
Call us and we’ll help guide you. Our bilingual (English/Spanish) navigators are available to assist you.