Enter your information below and someone will call you to set up your enrollment appointment. We offer in-person or phone appointments.
To check the status of your application, call us at 559-582-0180.
Please submit your proof of address, income and ID below to complete your application.
If you have an active Medi-Cal, please submit your Medi-Cal card as proof of income.
Proof of Address: Any mail or bill with your name and current address
Proof of Income: Pay stubs within the last 30 days or last year's W2 or Medi-Cal Card
Proof of ID: Driver's License, Social Security Card, or Medical Records (Birth Certificate)
Foster Families: If you are a legal guardian, please submit proof of care/custody.
Military Families: Please submit your W2 or LES as proof of income.
Please expect a call from us within the next few days to set up your appointment. We recommend saving our phone number on your cell phone to avoid missing our call: (559) 582-0180