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There are over 200 WIC clinics across Washington State. a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form,
Program related forms and materials for use by WIC clinic staff.
Washington WIC Medical Documentation Form – Children 1 – 5 years Call the child’s WIC clinic or the Washington State Nutrition Program at 1-800-841-1410.
They must have a medical diagnosis listed on the WIC Prescription Form to get this type of formula. The medical provider must use the WIC Prescription Form to
WIC is a supplemental food and nutrition program. WIC doesn’t provide all the formula or foods an infant needs each month. Federal regulations require all WIC programs to obtain a formula rebate contract to help contain costs. Washington WIC currently provides Similac Advance or Good Start Soy as the standard formulas.
Washington WIC Medical Documentation Form – Women. DOH 961-137 Questions? Call the woman’s WIC clinic or the Washington State Nutrition Program.
Overview of Women, Infants and Children (WIC) program of Washington County, Oregon.D.C. WIC Medical Documentation & Referral Form for. WOMEN, INFANTS & CHILDREN. Effective March 2016. This form is used for referring clients to WIC or
We have developed the WIC medical documentation forms to make it easier for medical providers to give WIC staff all the required information. WIC will accept
WIC is a program that provides the following services to pregnant women, new mothers, infants Farmer’s Market Nutrition Program · Medical Documentation Form [PDF]; Nutrition for the 899 North Capitol Street, NE, Washington, DC 20002

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