Outreach Resources & Materials:
Application
If you’d like to order bulk quantities of the CHIP/Children’s Medicaid/CHIP perinatal application, gather the following information:
- Contact name
- Contact phone number
- Street address and suite number (no PO Boxes)
- City, and zip
- Name of the application requested (CHIP/Children’s Medicaid application)
- Number of applications requested
Email that information to this address.