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Title V for Children and Adolescent
Título V para Niños y Adolescentes

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Title V for Children and Adolescent

Title V - *Free Medical & Dental Services for Children and Adolescent (Título V - Servicios médicos y dentales para niños y adolescentes)

*(Eligibility Required - Se requiere elegibilidad)

Medical- Services for Children and Adolescent (Birth - 21)

Well-child checkups, physical examinations, and screening
Immunizations
Sick care
Laboratory and diagnostic tests
Education and counseling
Case management as needed

Dental- Services for children and Adolescents (Birth to 21)

Comprehensive and periodic oral evaluation
Fluoride treatment
Restorative treatment
Sealant application
Dental education and counseling

Eligibility requirements:

Texas resident
Income at or below 185% FPL
Not eligible for other healthcare programs

Documentation for Family composition (Any of the documents below is accepted)

Birth certificate
School records
Baptismal certificate
Proof of family relationship and a copy of lease

Documentation for Income (Any of the documents below is accepted)

Copies of most recent paychecks
Employer’s written verification of gross monthly income
Child support statement
Unemployment benefit statement
Notes/receipts of cash income

Documentation for Family composition (Any of the documents below is accepted)

Texas Driver license
Voter registration
Rent or utility bill
Motor vehicle registration
School records
Medical cards or another benefit cards
Property tax receipt