Florida Healthy Kids

Family-Related Medical Assistance Application

* Marked fields are required.

DO Include:

  • Your spouse
  • Your children under 21 who live with you
  • Your unmarried partner who needs health coverage
  • Anyone you include on your tax return, even if they don’t live with you
  • Anyone else under 21 who you take care of and lives with you

You DON’T have to include:

  • Your unmarried partner who doesn’t need health coverage
  • Your unmarried partner’s children
  • Your parents who live with you, but file their own tax return (if you’re over 21)
  • Other adult relatives who file their own tax return