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ITC WIC SPECIAL FORMULA AUTHORIZATION FORM CHILDREN, WOMEN & HEALTHY INFANTS WIC Staff Name: WIC Phone Number: A. Client Information: Client Name: Client DOB: B. Formulas Previously Tried: Contract
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How to fill out itca wic special formula

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01
Start by gathering all the necessary information and documents. This includes your personal identification, proof of income, and any medical documentation that supports the need for the ITCA WIC special formula.
02
Locate your nearest WIC clinic or office. You can usually find this information online or by contacting your local health department.
03
Schedule an appointment with the WIC office. During this appointment, you will meet with a WIC representative who will guide you through the application process and help determine if you qualify for the ITCA WIC special formula.
04
Arrive at the appointment on time and bring all the required documents with you. This will help expedite the application process and ensure that you have all the necessary information handy.
05
The WIC representative will ask you questions regarding your income, household size, and any medical conditions or dietary restrictions. Be prepared to provide accurate and honest answers to these questions.
06
Once your eligibility is determined, the WIC representative will assist you in filling out the ITCA WIC special formula application form. They will provide step-by-step guidance and clarify any doubts or concerns you may have.
07
Double-check all the information you have provided on the application form for accuracy. Any mistakes or discrepancies could delay the processing of your application.
08
After completing the application form, submit it to the WIC representative. They will review it and inform you of the next steps in the process.
09
If approved for the ITCA WIC special formula, the WIC representative will guide you on how to obtain and use the formula. They may provide you with vouchers or instructions on where and how to purchase the special formula.

Who needs ITCA WIC special formula?

01
Infants and children under the age of 5 who have certain medical conditions or dietary needs may require the ITCA WIC special formula. These conditions could include allergies, intolerances, or specific nutritional requirements.
02
Pregnant women or breastfeeding mothers who have infants with medical conditions or dietary needs may also need the ITCA WIC special formula to ensure the health and well-being of both the mother and child.
03
It is important to consult with a healthcare professional, such as a pediatrician or a WIC representative, to determine if the ITCA WIC special formula is necessary for yourself or your child. They will assess the specific needs and provide the appropriate guidance and support.
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