Request for Dental Services, Eyeglasses, and Hearing Aids
Thank you for your interest in program services offered in the Department of Community and Human Services (DCHS) Customer Relations (CR) Division. Please fill out the interest form below. Once we receive your information, it will be reviewed and assigned to a worker who will contact you to explain the guidelines for the service or services you are requesting and make the necessary referrals for either dental, eyeglasses or hearing aid care.