Go to YourTexasBenefits.com to submit your application online. We will need proof of:
- Your identity.
- The money you make.
- Your citizenship and immigration status.
Please note: This online application works on desktop computers, but not on mobile phones or tablets. If you are using one of these devices, other application options are listed below.
Mail or Fax Your Application
You can download the form, fill it out by hand, and mail it or fax it to us at:
Healthy Texas Women
P.O. Box 149021
Austin, TX 78714-9021
Fax (toll-free) 1-866-993-9971
After we receive your form, we’ll send you a letter if we need additional information. You must provide the additional information by the deadline on the letter. Examples of proof are listed below.
Apply In Person
You also can apply at a clinic that offers Healthy Texas Women services. Fill out the form at the clinic and you might receive services the same day. You can find a participating clinic by using the Find a Doctor tool to the right.
Pick up an application form at a Women, Infants and Children (WIC) Nutrition Program office. Call 1-800-942-3678 (toll-free) to find a WIC office.
You can apply for Healthy Texas Women over the phone by calling 2-1-1. We can take your call from 8 a.m. to 6 p.m. Central Time, Monday to Friday.
Examples of Proof We Need
Proof showing how much money you receive:
- Paycheck stub or copy of a check from the last 60 days.
- A letter from an employer.
- Court papers, divorce decree or separation agreement that show you get alimony
- Unemployment benefit award letter or pay stubs.
- Supplemental Security Income award letter or pay stubs.
Proof showing how much you pay:
Court papers, divorce decree or separation agreement that shows how much you pay for alimony. Proof showing your citizenship and identity:
- A U.S. passport.
- A certificate of naturalization.
- A certificate of U.S. citizenship.
- The three items above prove both citizenship and identity. If you don’t have one of these documents, you will need to show two documents, one from each list below:
Proof of Citizenship
Proof of Identity
U.S. birth certificate
Current driver’s license with photo
U.S. citizen ID card
DPS ID card with photo (for example: Texas ID card)
Hospital record of birth
Work or school ID card with photo
Northern Mariana ID card
American Indian card with classification code KIC
Religious record of birth with date and place of birth, such as baptism record
Affidavit from 2 adults establishing the date and place of birth in the United States
An example of an item that shows proof of immigration status is an alien registration card or document from the Bureau for Citizenship and Immigration Services (formerly INS).
You have to prove citizenship, immigration and identity only one time. You don’t need to send these items again if you reapply.
Healthy Texas Women Plus
No additional application is needed for Healthy Texas Women Plus. Women who indicate they have been pregnant in the past year when applying for Healthy Texas Women coverage will be considered for Healthy Texas Women Plus benefits.
Who can Apply?
To get benefits from this program, you must meet certain requirements.
Questions & Answers
Get answers to questions about coverage, benefits and more.
Healthy Texas Women provides women’s health and family planning services.