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How to apply for the Medical Care program
NOTE: If you'd like to apply for both the Medical Care Program and the Energy Support Program with Medical program, we can walk you through the two-part process.
- Complete the Energy Support program application and include the required proof of income documents. Apply here.
- Once you are approved for the Energy Support program, submit your Medical Care program application - which includes the licensed medical professional verification.
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How would you like to fill out the Medical Care application?

Download and print or request an application be mailed to you

Take the application to your licensed medical professional to fill out the Licensed Medical Professional Verification section.

Mail it in to APS
APS Medical Care Program
Mail Station 3211, P.O. Box 53933
Phoenix, AZ 85072