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Step 1

STEP 1

JPS Health Network is working to improve our financial screening process. The new process will be easier and faster for our patients. It will also allow us to screen and notify applicants in a matter of a few days, not weeks.

 

Download an Application Packet

 

Download the 4506-T Request for Transcript of Tax Return

 

 

The completed application and all verification documents may be submitted by one of the following options:

  1. Mail to:
    JPS Enrollment & Eligibility Center
    1325 S. Main Street
    Fort Worth, Texas 76104
  2. Fax to:
    817-927-3834
  3. Scan and email to:
    Enroll@jpshealth.org
  4. Drop off at your local JPS Health Center where self-addressed envelopes will be available.