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State of Connecticut WIC ProgramDEPARTMENT OF PUBLIC HEALTH CERTIFICATION/MEDICAL REFERRAL FORM INFANTS AND CHILDREN Participant ID #: ___Family ID #: ___Child's Name: ___Date of Birth (DOB): ___/___/___
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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 Connecticut WIC website.
03
Click on the 'Apply' or 'Apply for WIC' button.
04
Fill out the online application form with your personal information, such as your name, address, phone number, and household information.
05
Provide information about your income and employment status.
06
Enter details about your health and nutrition status, as well as any medical conditions or dietary needs.
07
Submit the application online or print it out and mail it to the designated WIC office in Connecticut.
08
Await a response from the WIC office regarding your eligibility and next steps in the process.
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If approved, you will receive a WIC benefits card, which can be used to purchase approved nutritious foods at participating stores.

Who needs state of connecticut wic?

01
State of Connecticut WIC is available for pregnant women, new mothers, and young children up to the age of 5 who meet the income and nutritional guidelines set by the program.
02
The program aims to support low-income individuals and families by providing them with access to nutritious foods, nutrition education, and breastfeeding support.
03
Individuals who are eligible for other government assistance programs such as Medicaid, Temporary Assistance for Needy Families (TANF), or SNAP (Supplemental Nutrition Assistance Program) are also usually eligible for WIC.
04
If you are unsure about your eligibility, you can check the Connecticut WIC website or contact your local WIC office for more information.
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The Connecticut WIC (Women, Infants, and Children) program provides nutrition education, healthy food, breastfeeding support, and community referrals to eligible participants.
Pregnant women, new mothers, infants, and young children who meet income guidelines are eligible and required to file for the Connecticut WIC program.
To fill out the Connecticut WIC application, individuals can visit a local WIC office, complete the online application, or call the WIC hotline for assistance.
The purpose of the Connecticut WIC program is to improve the health of pregnant women, new mothers, infants, and young children by providing access to nutritious foods, nutrition education, and support services.
Information required on the Connecticut WIC application includes household income, identification, residency, and medical/nutritional need.
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