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State of Connecticut WIC ProgramDEPARTMENT OF PUBLIC HEALTH CERTIFICATION/MEDICAL REFERRAL FORM INFANTS AND CHILDREN Participant ID #: Family ID #: Child Name: Date of Birth (DOB): / / Sex:Parent/Guardian:
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How to fill out state of connecticut wic

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How to fill out state of connecticut wic

01
To fill out the State of Connecticut WIC application, follow these steps:
02
Visit the official website of the Connecticut WIC program.
03
Download the WIC application form from the website.
04
Fill out the form completely, providing accurate information about yourself and your household.
05
Make sure to include all required documents, such as proof of identity, residency, and income.
06
Double-check the form for any errors or missing information.
07
Submit the completed application and required documents to the nearest Connecticut WIC office.
08
Wait for the WIC program staff to review your application and determine eligibility.
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If approved, you will receive a WIC benefit card, which can be used to purchase approved foods and access other WIC services.
10
Follow the instructions provided by the WIC program to start using your benefits.
11
Renew your WIC benefits as required, usually every 6 months, by submitting a new application and supporting documents.

Who needs state of connecticut wic?

01
The State of Connecticut WIC program is designed to assist certain groups of individuals who meet the eligibility criteria. Those who may need the State of Connecticut WIC include:
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- Pregnant women
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- Breastfeeding women (up to 1 year postpartum)
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- Non-breastfeeding women (up to 6 months postpartum)
05
- Infants (up to their first birthday)
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- Children (up to their 5th birthday)
07
These individuals must also have a nutritional need, meet income guidelines, and be residents of the state of Connecticut. The WIC program aims to support the health and well-being of these specific groups through the provision of nutritious foods, nutrition education, and access to healthcare services.
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The state of Connecticut WIC (Women, Infants, and Children) program provides nutritious foods, nutrition education, and referrals to health and other social services for eligible pregnant women, new mothers, infants, and children up to age 5.
Pregnant women, new mothers, infants, and children up to age 5 who meet income guidelines and have a nutritional risk are required to file for the state of Connecticut WIC program.
To fill out the state of Connecticut WIC application, individuals can visit a WIC clinic, complete the required forms, provide proof of income, residency, and identification, and undergo a nutritional assessment.
The purpose of the state of Connecticut WIC program is to improve the health and nutrition of women, infants, and children by providing access to nutritious foods, nutrition education, and support services.
Information such as income, residency, identification, and nutritional risk must be reported on the state of Connecticut WIC application.
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