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State of California Health and Human Services Agency California Department of Public Health California WIC Program WIC REFERRAL FOR PREGNANT WOMEN Health Care Provider: Please provide the information
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How to fill out wic referral for pregnant

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How to fill out a WIC referral for pregnant:

01
Contact your local WIC office or clinic to schedule an appointment for a WIC referral.
02
Gather the necessary documents, such as proof of identification, proof of income, and proof of pregnancy.
03
During the appointment, provide the required information to the WIC representative, such as your name, address, phone number, and due date.
04
Answer any additional questions the WIC representative may have regarding your pregnancy or eligibility for the program.
05
Sign any necessary forms or documents provided by the representative.
06
Keep a copy of the completed referral for your records.

Who needs a WIC referral for pregnant:

01
Pregnant women who meet the eligibility requirements for the Women, Infants, and Children (WIC) program.
02
Women who are experiencing financial hardship and require assistance with nutrition and health services during their pregnancy.
03
Pregnant women who want to access supplemental foods, nutrition education, and healthcare referrals provided by the WIC program to support a healthy pregnancy.
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WIC referral for pregnant is a program that provides nutrition education, breastfeeding support, healthy food, and access to health care for low-income pregnant women.
Pregnant women who meet the income requirements are required to file a WIC referral for pregnant.
To fill out a WIC referral for pregnant, pregnant women can contact their local WIC office or healthcare provider for assistance.
The purpose of WIC referral for pregnant is to ensure that low-income pregnant women have access to the necessary resources and support for a healthy pregnancy.
The information reported on WIC referral for pregnant includes personal information, income verification, pregnancy status, and any medical conditions that may impact pregnancy.
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