Eligibility Requirements:
	County Resident 
	Income - Resources
	Household Composition

Services:
	Physician's Services 
	Inpatient/Outpatient Hospital	Care
	3 Presciptions per Month
	Skilled Nursing Facilities
	Family Planning Services
	Lab & X-Ray Services

Information needed to Apply:
	Social Security Cards for all members of the household
	Proof of Identification
	Proof of all household income
	Proof of Residency
	Proof of Resources: checking/savings account statement; 
	  tax statements for real estate, vehicles, boats, trailers

You Have The Right To:
	Obtain an application
	Have assistance in preparing forms
	Eligibility determined within 14 days after completion of
	  application
	Written notification of determination
	Appeal of denial of acceptance
	Submit an application anytime
	Equal treatment regardless of race color, religion, sex, age,
	  national origin, political or handicapped