ENROLLMENT
PATIENT QUALIFICATIONS
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Howard County resident
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Household income under 200% of this year's federal poverty level (Project Access Poverty Guidelines) (Federal Poverty Level Income Chart for HIP)
WHEN TO ENROLL
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Tuesdays and Thursdays 9 a.m. - 4 p.m.
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Appointment suggested, walk-ins welcome
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FORMS
Medication Assistance Forms
Click to Download Application and Patient Guidelines
Dental Application
Vision Application
Hearing Aid Program Form
Additional Forms