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Breastfeeding Referral/Contact Form WIC-386 Purpose: To refer pregnant and breastfeeding women to WIC personnel for breastfeeding education and support. Reference: CRT 08.0.4 Procedure: Complete the
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How to fill out breastfeeding referralcontact form wic-386

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How to fill out breastfeeding referralcontact form wic-386:

01
Begin by entering your personal information in the designated fields. This includes your name, contact information, and any other requested details such as your address or date of birth.
02
Next, provide information about your current health status and any applicable medical conditions or allergies. This will help the healthcare professionals assess your specific situation accurately.
03
Make sure to indicate if you are currently receiving any assistance or benefits related to breastfeeding, such as WIC (Women, Infants, and Children) program. This will help to streamline the process and ensure that you receive necessary support.
04
Specify whether you are seeking assistance for prenatal breastfeeding preparation or postpartum breastfeeding support. This will help the healthcare provider understand your needs and provide appropriate guidance.
05
If you have a preferred healthcare provider or lactation consultant, you may indicate their name or contact information in the form. However, this is optional and not mandatory.
06
Finally, review the completed form to ensure that all the information provided is accurate and up to date. If there are no errors or omissions, you can submit the form as per the given instructions.

Who needs breastfeeding referralcontact form wic-386:

01
Pregnant women who are planning to breastfeed or seeking information and support for breastfeeding.
02
New mothers who are currently breastfeeding or considering breastfeeding.
03
Individuals who are already receiving assistance from the WIC program and require additional breastfeeding support.
It is important to note that the need for the breastfeeding referralcontact form may vary depending on the specific policies and procedures of the healthcare provider or organization offering the form. It is recommended to consult with your healthcare provider or WIC representative to determine if this form is necessary in your situation and to ensure that you receive the appropriate assistance and support.
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Breastfeeding referral contact form WIC-386 is a form used for referring participants in the Women, Infants, and Children (WIC) program to breastfeeding support services.
Healthcare providers and WIC program staff are required to file the breastfeeding referral contact form WIC-386.
To fill out the breastfeeding referral contact form WIC-386, healthcare providers and WIC program staff must provide the necessary participant information and details on the need for breastfeeding support services.
The purpose of breastfeeding referral contact form WIC-386 is to connect WIC program participants with breastfeeding support services to promote and encourage breastfeeding.
The breastfeeding referral contact form WIC-386 must include participant demographics, breastfeeding status, and reasons for referral to support services.
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