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The document is a verification form for the JPS Connection Program, intended for individuals providing assistance to applicants seeking financial and residency support. It requires details about the applicant's living situation, financial assistance provided, and documentation of identity and residence. The form must be signed by the person providing assistance and notarized.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Do you have to live in Tarrant County to go to JPS Hospital?

1. Residence: The applicant must live in Tarrant County. 2. Citizenship: The applicant must be a U.S. Citizen or a Legal Permanent Resident.

Does JPS accept walk-ins?

JPS Connection: Walk-ins available. Monday - Friday: 8 a.m. - 6 p.m. Pharmacy: Prescription drop-offs accepted until 30 minutes before closing. Pick-ups accepted until 15 minutes before closing.

What does JPS stand for in the hospital?

John Peter Smith Hospital (also known as JPS Hospital) is a Level 1 Trauma Center, 573-bed public hospital located in Fort Worth, Texas that provides inpatient, outpatient, and behavioral healthcare.

What are the visiting hours for JPS?

Mother-Baby Rooming-in: JPS keeps mom and baby together to promote bonding and for security. Quiet Times: 8 to 10 a.m., 2 to 4 p.m. and 11 p.m. to 2 a.m. Support Person: Mom can select one adult support person who is welcome at all times. Family and Friends: Visitors are welcome from 10 a.m. to 8 p.m. daily.

Who is the CEO of JPS Health Network?

To view the JPS Health Network Organizational Chart, click here. Karen Duncan, MD, MBA, serves as the President and CEO of JPS Health Network, a public academic hospital licensed for 582 beds.

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What is the phone number for JPS referral?

Referring Doctor Info Patient Access Center phone number (817)702-1100.