Application Help

Help with Your Application

If you need help filling out the application there are many people who can help you.

  • Get help over the phone by calling our office toll-free at 1-877-464-2447 Monday-Friday 8:00 am – 4:30 pm. We can take your information over the phone and fill in the application for you. Then we will mail you the filled in application to sign and return to us with all of your documents.

  • Email to get help with your application questions. Please do not send your application or documents via this email.

  • Visit our office for help. Click here for directions.

  • Call our office at 1-877-464-2447 for information about visiting one of our application assistance sites for help in person. We have application assistors who can help you in the following towns:

  • Berlin

  • Claremont

  • Colebrook

  • Concord

  • Conway
  • Derry
  • Dover

  • Exeter

  • Franklin

  • Keene

  • Laconia
  • Lancaster

  • Lebanon
  • Littleton
  • Manchester

  • Nashua

  • New London

  • Newmarket
  • Peterborough

  • Plymouth
  • Portsmouth

  • Raymond

  • Rochester

  • Warren

  • Wolfboro

  • Woodsville
 


Even if your town is not listed, you can still get help with your application in a nearby town.

LOW COST & FREE HEALTH COVERAGE FOR UNINSURED KIDS & TEENS IN NEW HAMPSHIRE