connections for positive change
DSHS Application for the Basic Food Program or Children's Medical Program

Click to Download and print the application from here. Then mail the completed application to this address:

Department of Social and Health Services
Region 3 Hub Imaging Unit
P. O. Box 6053
Arlington, WA 98223-9953

The Answer Phone: (877)980-9220

DSHS Community Service Offices

Alderwood Community Services Office (CSO # 52)
20311 52nd Ave W
Lynnwood, WA 98036-6313
Toll Free: (800) 230-1818
Phone: (425) 438-4974
Hours: 8:00 a.m. - 5:00 p.m. M-F
TTY Number: (425) 672-2315
Fax Number: (425) 672-2295

Everett Community Services Office (CSO # 31)
840 N Broadway, Suite #200
Everett, WA 98201-1297
Hours: 7:30 a.m. - 5:00 p.m. M-F
Phone: (425) 438-4971
TYY Number: (425) 339-4075
Fax Number: (425) 339-4890

Skykomish Valley Community Services Office (CSO # 68)
19705 State Route 2
Monroe, WA 98272
Hours: 8:00 a.m. - 5:00 p.m. M-F
Phone: (425) 438-4972
Toll Free: (800) 765-7039
TTY Number: (360) 805-1158
Fax Number: (360) 651-5269

Smokey Point Customer Services Office (CSO # 65)
3704 172nd St. NE
Arlington, WA 98223-6336
Hours 8:00 a.m. - 5:00 p.m. M-F
Phone: (425) 438-4973
Toll Free: (800) 827-1808
TTY Number: (360) 658-2293
Fax Number: (360) 651-5269