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ITC MILK ALTERNATIVE REQUEST FORM To be completed by WIC staff: Client Name: Date of Birth: WIC Staff: To be completed by health care provider: 1. Current Request: ? Soy Beverage and Tofu ? Soy Beverage
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What is itca milk alternative request?
The itca milk alternative request is a form or application used to request an alternative to milk for individuals with lactose intolerance or dietary restrictions.
Who is required to file itca milk alternative request?
Individuals with lactose intolerance or dietary restrictions who require an alternative to regular milk are required to file the itca milk alternative request.
How to fill out itca milk alternative request?
To fill out the itca milk alternative request, you need to provide your personal information, specify your dietary restrictions or lactose intolerance, and indicate the type of milk alternative you require.
What is the purpose of itca milk alternative request?
The purpose of the itca milk alternative request is to ensure that individuals with lactose intolerance or dietary restrictions have access to suitable milk alternatives that meet their nutritional needs.
What information must be reported on itca milk alternative request?
The itca milk alternative request typically requires reporting of personal information (such as name, contact details), medical information (lactose intolerance or dietary restrictions), and the specific type of milk alternative needed.
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