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WIC FORMULAS AND FOODS PRESCRIPTION FORM Children 1 to 5 years Child name Child date of birth March 2014 Return pages 1 and 2 to the local WIC clinic or to the child s caregiver. Caregiver name 1.
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How to fill out wic formulas and foods

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WIC formulas and foods are designed to support the nutritional needs of pregnant women, new mothers, infants, and young children who meet certain income eligibility requirements.
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To fill out WIC formulas and foods, individuals need to first determine their eligibility by contacting their local WIC agency. This can be done by phone, in person, or through an online application process.
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Once eligibility is confirmed, individuals will need to provide documentation such as proof of income and identification for themselves and their children.
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After enrollment, participants will meet with a WIC nutritionist or dietitian who will evaluate their nutritional needs and provide them with tailored food packages and formula options.
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The WIC formula options may include infant formulas, specialized formulas for infants with specific dietary needs, and supplemental formulas for breastfeeding mothers.
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The WIC food packages usually consist of nutritious items such as fruits, vegetables, whole grains, dairy products, and protein sources like eggs, poultry, and beans.
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Participants will receive vouchers or an Electronic Benefit Transfer (EBT) card to purchase WIC-approved foods at authorized grocery stores and farmers markets.
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It is important to note that WIC formulas and foods are not meant to replace all of an individual's dietary needs but rather to supplement them with essential vitamins, minerals, and nutrients.
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Regular appointments with the WIC nutritionist or dietitian will be scheduled to monitor health and nutritional progress, provide education on healthy eating habits, and address any concerns or questions.
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It's important to remember that WIC formulas and foods are available to those who meet the eligibility criteria and can greatly contribute to the health and well-being of pregnant women, new mothers, infants, and young children.
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