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ARKANSAS DEPARTMENT OF HEALTH WIC PROGRAM SPECIAL FORMULA REQUEST WIC may provide the following formulas with documented medical reason/diagnosis. Supplemental foods will only be issued with approval

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What is wic-51 special formula request?

The WIC-51 special formula request is a request for a special formula to be provided through the Women, Infants, and Children (WIC) program.

Who is required to file wic-51 special formula request?

Individuals who are eligible for the WIC program and require special formula for their dietary needs are required to file WIC-51 special formula request.

How to fill out wic-51 special formula request?

The WIC-51 special formula request form can be filled out by providing the necessary information and documentation requested on the form.

What is the purpose of wic-51 special formula request?

The purpose of the WIC-51 special formula request is to ensure that individuals with special dietary needs are provided with the appropriate formula through the WIC program.

What information must be reported on wic-51 special formula request?

The WIC-51 special formula request form requires information such as the individual's dietary needs, medical documentation, and contact information.

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