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Notice: Summer Camps
We have updated the list of summer camps that serve children with special health care needs in Texas. The link is under Summer Camps heading near the bottom of this web page.
Program Application
Please print the form, fill it out, and mail it to your local office. If you need an accessible version, such as for a screen reader, please call us at 1-800-252-8023 or send an e-mail to CSHCN Services Program.
CSHCN Services Program Application 2010 (2.3MB PDF) Publication #T-3, posted 8/9/2010
Change Sheet for Client Application Form, T-3, (25KB Word), bilingual English and Spanish, posted 1/11/12
Address Change Form
Address Change Form (483KB PDF) / Formulario de cambio de domicilio Publication #EF07-12595, bilingual English and Spanish, updated 10/2011
CSHCN Regional and Local Offices
The list of Local Offices of the CSHCN Services Program is found on page 17 of the Application. An updated list has been added to to the CSHCN Regional and Local Offices webpage in the menu on the left.
Drug Co-Pay Reimbursement
Client Drug Co-Pay Reimbursement Request Form 2009 (47KB Word) Publication #EF-07-13429, bilingual English and Spanish, posted 7/15/2010
Client Drug Co-Pay Reimbursement Request Form 2009 (96KB PDF) Publication #EF-07-13429, bilingual English and Spanish, posted 7/15/2010
Physician/Dentist Assessment Form
CSHCN Services Physician/Dentist Assessment Form (118KB PDF)
CSHCN Services Physician/Dentist Assessment Form Instructions (23.1KB PDF)
School Attendance Verification Form
School Attendance Verification Form (482KB PDF) Publication #EF-07-12840, bilingual English and Spanish, posted 8/2/2011
Emergency Forms and Information
Medication Form Publication #EF07-12780, bilingual English and Spanish (PDF)
Emergency Information Form Publication #EF07-12540, bilingual English and Spanish (PDF)
Emergency and Disaster Planning Guide Publication #4-2, bilingual English and Spanish (PDF)
Handbook
The CSHCN Services Program Client Handbook, Publication #E07-12357 (1.5MB PDF), provides basic information for program clients. updated 7/15/2011
Newsletter
The CSHCN Services Program Newsletter for Families is published quarterly.
Program Brochure
Download the brochure in English Stock No. 4-1 (474K, PDF). It was revised 05/2009. The file contains a copy of the brochure in color and black and white. Use the bookmarks to access either the color or black and white version.
Summer Camps 2012 is a list of camps for children and others with special needs.
Transition Information
Transition Series Articles (656KB, PDF)
Resource List for Transitioning Youth in Texas three fold brochure color (172KB PDF) updated 11/30/2009
Medical Home Workgroup
Links to the agendas, minutes, and reference materials for the Medical Home Workgroup are on the Medical Home Workgroup webpage.
Send comments or report broken links by e-mail to CSHCN Services Program.