Applying for CHIP Coverage - Online
http://www.medicaidpatients.com/medicaid-and-children%E2%80%99s-health-insurance-program/
You can search online for the CHIP program in your state, and depending on the state where you live, the website may have the facility to generate a form for you to fill up after registering with your unique user name and password and send it in right then and there, or just ask you to download an application form which you will then need to fill up and subsequently mail or fax.
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