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WIC FORMULAS AND FOODS PRESCRIPTION FORM Women June 2015 Client name: Client date of birth: 1. Check a qualifying medical diagnosis ? ? ? ? ? ? ? ? ? ? ? Return pages 1 and 2 to the local WIC clinic
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How to fill out wic formulas and foods

How to fill out WIC formulas and foods?
01
Gather the necessary documents: Before filling out WIC formulas and foods, you will need to gather certain documents such as proof of income, identification for yourself and your children, proof of residency, and any medical documentation if applicable.
02
Find your local WIC office: Locate the nearest WIC office in your area by using the online directory or contacting the WIC helpline. They will guide you through the application process and provide you with the necessary forms.
03
Schedule an appointment: Contact the WIC office and schedule an appointment to complete the application process. It is recommended to call ahead and ask about any specific documents or information you need to bring with you.
04
Attend the appointment: On the scheduled day, visit the WIC office and meet with a WIC counselor or representative. They will guide you through the application process, answer any questions you may have, and assist you in selecting appropriate WIC formulas and foods for yourself and your family.
05
Provide required information: During the appointment, you will be required to provide information about your family size, income, and any nutritional or medical needs. This information helps the WIC program determine your eligibility and the types of food and formula you qualify for.
06
Choose WIC formulas and foods: Based on your eligibility and the needs of your family, the WIC counselor will guide you in selecting the appropriate WIC formulas and foods. These may include milk, cheese, eggs, peanut butter, cereals, fruits, vegetables, infant formula, and more. The counselor will provide you with an electronic benefits transfer (EBT) card which can be used at authorized grocery stores to purchase WIC-approved items.
07
Attend regular follow-up appointments: After enrolling in the WIC program and receiving your benefits, you will be required to attend regular follow-up appointments. These appointments aim to monitor the nutritional well-being of you and your family, provide breastfeeding support if applicable, and update any necessary information.
Who needs WIC formulas and foods?
01
Pregnant women: WIC formulas and foods are available to pregnant women to ensure they receive essential nutrients and maintain a healthy pregnancy.
02
Postpartum women: WIC provides formulas and foods to support postpartum mothers as they recover from childbirth and provide proper nutrition for themselves and their newborns.
03
Infants and children: WIC formulas and foods are also available for infants and young children up to the age of five. This program ensures they receive adequate nutrition for healthy growth and development during these critical years.
Overall, WIC formulas and foods are designed to support and provide nutrition for pregnant women, postpartum women, infants, and young children who may be at a nutritional risk or have limited access to healthy food options.
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What is wic formulas and foods?
WIC (Women, Infants, and Children) formulas and foods are nutritional supplements provided by the government to low-income pregnant or postpartum women, infants, and children under the age of five.
Who is required to file wic formulas and foods?
Those who meet the eligibility criteria set by the WIC program are required to apply for and receive WIC formulas and foods.
How to fill out wic formulas and foods?
To apply for WIC formulas and foods, individuals must contact their local WIC agency, complete an application form, and provide proof of income and residency.
What is the purpose of wic formulas and foods?
The purpose of WIC formulas and foods is to improve the health and nutrition of low-income pregnant or postpartum women, infants, and children by providing them with necessary nutrients.
What information must be reported on wic formulas and foods?
Information such as income verification, residency status, and family size must be reported when applying for WIC formulas and foods.
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