b"2/vitamins/ child locally. or tinned pulsesplain fresh, driedvegetables or tinned fruit and plain fresh, frozen infant formulaplain cow's milk my vouchers? What can I buy with for-health-professionalswww.healthystart.nhs.uk/ exchange vitamin vouchersYou can also find where tofor vitamins for you and yourcan exchange your vouchersor health visitor where youMake sure you ask your midwifeAnd dont forget your vitamins.on 0345 607 6823. or call the Healthy Start helplineto www.healthystart.nhs.uknearest participating shops goas supermarkets. To find yourand greengrocers as well You can use them at local shops SERVICES THAHEALTH AND WELLBEINGT CAN HELP YOUTear along dotted lineApplication form for Healthy Start vouchersFill in this application form clearly in black ink, in English and in CAPITAL letters V51 You: Please fill in the details of the person who is applying (this is you, if you are pregnant) TitleSurnameDate of birthD D M M Y Y Y YFirst Name National Insurance numberEmail Tick all the benefits you are getting: Income Support Income-related Employment and Support Allowance Income-based Jobseekers Allowance Pension Credit Child Tax Credit (with a family income of 16,190 or less per year)Universal credit (with a family take home pay of 408 or less per month2 Your address and telephone number: Please tell us where you live and your current telephone numberLine 1 Line 1 TownCountry PostcodeTelephone number 3 Your partnerif they live with you: This could be your husband, wife, boyfriend or girlfriendTitle SurnameDate of birthD D M M Y Y Y YFirst Name National Insurance numberRelationship to applicantTick all the benefits you are getting: Income Support Income-related Employment and Support Allowance Income-based Jobseekers Allowance Pension Credit Child Tax Credit (with a family income of 16,190 or less per year)Universal credit (with a family take home pay of 408 or less per month4Your carer and carers partner: Only fill this in if you are under 18 (or under 20 and in full-time education) and live with a carere.g. a parent4 a Your carerTitle SurnameDate of birthD D M M Y Y Y YFirst NameNational Insurance numberRelationship to applicantPlease turn over HS01_V5You can post the completed form to Freepost RRTR-SYAE-JKCRHealthy Start Issuing Unit, PO Box 1067, Warrington, WA55 1EG29"