DOES YOUR FAMILY HAVE HEALTH INSURANCE?
Your family may be eligible for Medi-Cal coverage

•	Doctor Visits	•	Prescription Drugs

•	Emergency Care	•	Vision

•	Hospital Care

•	Immunizations

•	Hearing

•	Dental

This Program is for qualifying uninsured Children and Adults
 YOU CAN APPLY FOR THIS PROGRAM ANYTIME THROUGHOUT THE YEAR. By APPOINTMENT ONLY Monday –Thursday

For more information or to make a PHONE Appointment To Apply Please Contact:
AMY GOMEZ, C.A.A. /C.U.S.D. Nursing Services (559) 327-7988
Email: amygomez@cusd.com
**DOCUMENTS REQUIRED TO APPLY FOR the Medi-Cal for Families Program:
1. PROOF OF INCOME from JOB, UNEMPLOYMENT, CHILD SUPPORT or OTHER INCOME (within the last 30 days)**Self-employed current 1040’s/Schedule C **(or just ask Amy if you’re not sure).
2. BIRTH CERTIFICATES/Citizenship Certificates or Permanent Resident Cards. 3. SOCIAL SECURITY CARDS.
4. PROOF OF ADDRESS (current PG&E bill, rental receipt, water bill, and phone or cell bill with your name on it.
5. PROOF of Rent and Utilities.
6.*If applying for CalFresh(food assistance) - CURRENT Bank Statements and Vehicle Registration.
7. PICTURE I.D. for Adult(s) living in home.**ASSISTANCE WITH MEDI-CAL/FOOD STAMP REINSTATMENTS (renewals) IS ALSO PROVIDED. **Thanks.