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For more information please visit <a title="Measles Outbreak in Texas" href="https://www.dshs.texas.gov/measles" target="_blank" rel="noopener">Measles Outbreak in Texas | DSHS</a>.</p></div> </div> </section> <header class="header " style="" data-react-component="MainNavigation" data-props="{"mainNav":[{"categoryTitle":"Become a Member","columns":[{"columnId":"a5b050b4-ca49-41ea-91dc-c8c7587b1f08","title":"How do I qualify?","showSearch":false,"searchPlaceHolderText":"","searchVerticalUrl":"","links":[{"title":"Become a member","link":"/join/","linkAriaLabel":"Become a member","openInNewWindow":false},{"title":"How to apply","link":"/join/how-to-apply/","linkAriaLabel":"How to apply","openInNewWindow":false},{"title":"Application assistance","link":"/join/how-to-apply/application-assistance/","linkAriaLabel":"Application assistance","openInNewWindow":false}]},{"columnId":"94d6b965-e554-4297-98c4-2c7d891e8f89","title":"About us","showSearch":false,"searchPlaceHolderText":"","searchVerticalUrl":"","links":[{"title":"Member benefits","link":"/join/benefits/","linkAriaLabel":"Member benefits","openInNewWindow":false},{"title":"About us","link":"/join/about-us/","linkAriaLabel":"About us","openInNewWindow":false},{"title":"Contact us","link":"/join/contact-us/","linkAriaLabel":"Contact us","openInNewWindow":false}]}]},{"categoryTitle":"Find Care","columns":[{"columnId":"a4083511-8719-42a0-ac62-4006ed5bad74","title":"Provider Search","showSearch":false,"searchPlaceHolderText":"","searchVerticalUrl":"","links":[{"title":"Provider search","link":"/provider-search/","linkAriaLabel":"Provider search","openInNewWindow":false}]}]},{"categoryTitle":"For Members \u0026 Community","ctaBlock":{"heading":"Member portal","text":"\u003cp\u003eSign in to check your coverage, review claims and authorizations, replace an ID card and more. 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class="rich-text"><h2>Value Added Services</h2> <p>Our VAS gift card forms can now be found within our MyCookChildren's Member Portal. You can access these forms by signing up or logging into the portal here.</p> <p><a class="score-button primary" title="My Cook Children's Member Portal" href="https://mycookchildrens.cookchp.org/MyChartHealthPlan/Authentication/Login?lang=english">MyCookChildren's Member Portal</a></p> <p>Once signed up and logged in, the forms can be located under VAS Forms.</p> <h2>Forms</h2> <p>The following forms are available to download in PDF format.</p> <ul> <li><a style="text-decoration: none;" title="Provider Change Request Form" href="/siteassets/documents/chip_forms_provider_change_request_form.pdf" target="_blank" rel="noopener">Provider Change Request Form Authorizations</a></li> <li><a style="text-decoration: none;" title="STAR/STAR Kids Provider Authorized Representative Form" href="/siteassets/documents/chip_forms_star_and_star_kids_authorization_representative_form.pdf" target="_blank" rel="noopener">STAR/STAR Kids Provider Authorized Representative Form</a></li> <li><a style="text-decoration: none;" title="Request to Authorize Account Access" href="/siteassets/documents/request-to-auth-account-access-form_final.pdf" target="_blank" rel="noopener">Request to Authorize Account Access</a></li> </ul> <h2>We're here to help</h2> <p>Please call Member Services if you have any questions about these forms at <a style="text-decoration: none;" title="1-800-964-2247" href="tel:1-800-964-2247">1-800-964-2247</a>. 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