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Medical Documentation for Formula and Food
Please have the client/caregiver return this completed form to the WIC office or Fax it to the WIC office.
The Florida WIC Program supports the American
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Have the client/caregiver fill out the necessary forms completely.
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Make sure all required information is provided, such as name, contact details, and medical history.
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Anyone who requires client or caregiver information, such as healthcare providers, social workers, or administrative personnel.
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