Family Planning / Title X Hardship Declaration Form - New Mexico (English / Spanish)

Family Planning/Title X Hardship Declaration Form is a legal document that was released by the New Mexico Department of Health - a government authority operating within New Mexico.

FAQ

Q: What is the Family Planning/Title X Hardship Declaration Form?
A: The Family Planning/Title X Hardship Declaration Form is a document used in New Mexico that allows individuals to declare their financial hardship in order to qualify for free or reduced-cost family planning services.

Q: Who is eligible to use the Family Planning/Title X Hardship Declaration Form?
A: Any individual residing in New Mexico who is in need of family planning services and is experiencing financial hardship can use this form.

Q: What is the purpose of the Family Planning/Title X Hardship Declaration Form?
A: The purpose of this form is to assess an individual's financial eligibility for free or reduced-cost family planning services provided by the Title X program in New Mexico.

Q: Is the Family Planning/Title X Hardship Declaration Form available in both English and Spanish?
A: Yes, this form is available in both English and Spanish to cater to the diverse population in New Mexico.

Q: What information do I need to provide on the Family Planning/Title X Hardship Declaration Form?
A: You will need to provide personal and financial information, such as your name, address, income details, and household size, to determine your eligibility for free or reduced-cost family planning services.

Q: Is there a deadline for submitting the Family Planning/Title X Hardship Declaration Form?
A: There is no specific deadline for submitting this form. You can submit it at any time when you are in need of family planning services and experiencing financial hardship.

Q: What happens after I submit the Family Planning/Title X Hardship Declaration Form?
A: After you submit this form, it will be reviewed by the relevant authority to determine your financial eligibility for free or reduced-cost family planning services. You will be notified of the outcome of your application.

Q: Are the family planning services provided under the Title X program completely free?
A: The family planning services provided under the Title X program may be free or offered at a reduced cost, depending on your financial eligibility and the specific services you require.

Q: Can I use the Family Planning/Title X Hardship Declaration Form for my partner/spouse and children?
A: Yes, you can use this form to declare the financial hardship of your partner/spouse and children in order to qualify for free or reduced-cost family planning services for the whole family.