Health and Financial Support Applications

• Children With Special Health Care Needs Program (pdf)
• Application for Food Stamps, Temporary Assistance for Needy Families (TANF), and Family Medical Coverage (Medicaid)
  • English (pdf)
  • Spanish (pdf)
• Application for the Nevada Checkup Program
  • English
  • Spanish
• Application for Children's Health Assurance Program (pdf)
• Application for Assistance for the Aged, Blind, and Disabled - MAABD (pdf)
• Application for Request for Prior Medical Assistance - Medicaid (pdf)
• Application Process for Social Security Administration Disability Benefits for Children Under 18

Contact Information

Children With Special Health Care Needs

Assisting children with special health care needs and their families through a variety of health and support services.

4150 Technology Way, Suite 101
Carson City, Nevada 89706
Phone: (775) 684-4285
Fax:  (775) 684-4245