HIPPY Interest Form
∗ HIPPY Interest Form ∗
If you are interested in applying for the HIPPY Program, please click on the following link to send in your contact information.
Thank you for your interest in the HIPPY Program!
A HIPPY staff member will contact you soon to complete the application process and request the following documentation:
- Parent's drivers license
- Child's birth certificate
- Child's social security card
- Medicaid eligibility letter (if applicable)
- Income documentation (if not eligible for medicaid)