Back 2 School SoonerCare Enrollment Event

Get a Sonic Gift Card When You Sign Up For SoonerCare Mon-Fri,August 17-28, 8am -4pm Little Axe Health Center

LITTLE AXE BACK-TO-SCHOOL EVENTS Elementary School "Meet Your Teacher Night" Tuesday. August 18, 2015 Middle 4 High School Open House Tuesday. August 25, 2015 Frrst Day of School Thursday. August 20, 2015

WHAT YOU NEED TO APPLY: Income Information: Employment & other income resources for all household members (pay stubs, tax retums, unemployment income, social security income etc.) Social security numbers & birthdates for all household members Current health insurance information for insured household members Name of absent parent not living In household for any child applying

Disclaimer New & renewal applications accepted Renewal applications must be within 30 days Must complete online application and receive eligibility determination to receive gift card. Approval for benefits must meet federal & state income guidelines All personal information is protected by federal HIPAA privacy laws Must be an Oklahoma resident Native and non-native community members welcome to apply Offer valid while supplies last One offer per family

Contact: Melinda Ferren; Connie Bottaro/Luis Almanza Patient Benefit Advocate 405.447.0300 www.asthealth.org