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GEORGIA WIC PROGRAM 2014 PROCEDURES MANUAL Attachment FP-38 Special Formula Order Tracking Form Clients Name: Formula: Date of Last Rx Next Rx Due Date P/U Code Next Pick Up Date Order Faxed to State
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Revised april httpdphgeorgiagovwic-formula-resources is a form used for reporting WIC formula resources.
WIC vendors are required to file revised april httpdphgeorgiagovwic-formula-resources.
Revised april httpdphgeorgiagovwic-formula-resources can be filled out online on the Georgia WIC website.
The purpose of revised april httpdphgeorgiagovwic-formula-resources is to track formula resources provided by WIC vendors.
Information such as inventory levels, formula types, and distributor information must be reported on revised april httpdphgeorgiagovwic-formula-resources.
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