Order Informational Materials

Informational material about New York State's Child Health Plus program is available FREE of charge to organizations within New York State.

To request copies, please complete the order form and return or fax to:

NYS Department of Health Distribution Center
21 Simmons Lane
Menands, NY 12204
FAX: 518-465-0432

Important Notice for People Enrolling Children in Child Health Plus:

To mail in your application please use the addresses available here for a Child Health Plus health plan of your choice or contact a facilitated enroller for further assistance.

Order Form

Child Health Plus Booklet (English, #0521)

Circle a quantity:

  • 50
  • 75
  • 100

Requester Information:

  • 1. Name:


  • 2. Organization:


  • 3. Street:


  • 4. Address:


  • 5. City/State/Zip:


  • 6. Phone Number:


  • 7. Date:


Deliveries cannot be made to a post office box. Return your order to:

NYS Department of Health Distribution Center
21 Simmons Lane
Menands, NY 12204
FAX: 518-465-0432