KY WIC-200 2014 free printable template
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WIC Clinic: Kentucky WIC Program Infant (1-year-old) Certificate for Medical Necessity for Formula and WIC Food Exceptions Clinic Fax number: The WIC Program provides Gerber Good Start Gentle Formulas
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How to fill out KY WIC-200
How to fill out KY WIC-200
01
Obtain the KY WIC-200 form from the appropriate WIC office or website.
02
Fill in the participant's personal details such as name, date of birth, and address.
03
Include the family size and income information to determine eligibility.
04
Provide information about any health conditions or dietary needs if applicable.
05
Sign and date the form to certify that the information provided is accurate.
06
Submit the completed form to your local WIC agency for processing.
Who needs KY WIC-200?
01
Individuals and families who are pregnant, postpartum, breastfeeding, or have children under the age of 5 in Kentucky.
02
People who meet the income guidelines and have a nutritional need.
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People Also Ask about
What formula does Kentucky WIC use?
Kentucky WIC is changing to Similac as our contract formula starting October 29, 2021. Your baby's formula will automatically switch to a Similac formula that is most like your Gerber Good Start or Enfamil formula for November issuance.
What formula is WIC approved for Kentucky 2023?
WIC infants will transition to Similac Brand Infant formulas March 1, 2023. Similac Advance, Total Comfort, Sensitive and Isomil soy will be available for WIC infants who are not fully breastfed. Infants who have a medical need for another formula will again require medical documentation as of March 1, 2023.
What formulas does Kentucky WIC cover?
WIC Formula Policies Good Start Gentle (primary formula) (orange can) Good Start Soothe (purple can) Good Start Soy (blue can) Good Start Graduate Gentle (recommended for age 9 months and older) Good Start Graduate Soothe (recommended for age 9 months and older)
How many cans of formula does WIC give a month in Kentucky?
for the first month of your baby's life, if you need to supplement breastfeeding with formula, WIC can provide 1 can of powdered formula.
Why is WIC switching from Similac to Gerber?
California WIC is Switching Formulas Brands This is because WIC is required to provide the infant formula with the best contract price. The more WIC saves on formula costs, the more families WIC can serve. The amount of formula WIC provides per age will not change.
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What is KY WIC-200?
KY WIC-200 is a form used by the Kentucky Women, Infants, and Children (WIC) Program to collect information and assess eligibility for nutritional support services.
Who is required to file KY WIC-200?
Individuals applying for WIC services in Kentucky are required to file KY WIC-200 as part of the application process.
How to fill out KY WIC-200?
To fill out KY WIC-200, you need to provide personal information such as your name, address, income details, and household composition as well as any additional information required by the form.
What is the purpose of KY WIC-200?
The purpose of KY WIC-200 is to determine eligibility for WIC benefits and to gather necessary demographic and financial information for program administration.
What information must be reported on KY WIC-200?
The information that must be reported on KY WIC-200 includes personal details of the applicant, income information, household size, and any relevant medical history or nutritional needs.
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