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NEW YORK STATE DEPARTMENT OF HEALTH WIC Program WIC Medical Referral Forms form may be used to refer patients to the WIC Program and to communicate changes in patient health information. The information
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Start by downloading the NYS Department of Health form from their official website.
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Submit the filled-out form to the NYS Department of Health as per their instructions.

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The New York State Department of Health (NYSDOH) is a government agency responsible for protecting and promoting the health of New Yorkers.
Certain healthcare facilities and providers in New York State are required to file reports with the NYSDOH.
Healthcare facilities and providers can fill out the required reports either electronically through the NYSDOH website or by mail.
The purpose of the NYSDOH is to monitor public health, prevent disease outbreaks, and ensure the quality of healthcare services in the state of New York.
Information such as patient demographics, medical diagnoses, treatments provided, and healthcare facility data must be reported on the NYSDOH forms.
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