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Wic Form Illinois PDF

Wic Form Illinois PDF

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Instructions and help about illinois wic form pdf

in order to add more color more flavor more life to the lives of our wic clients a medical prescription form for some of the foods may be required the exciting news is that participants on prescription formula will now also be able to receive the new wic foods offered in the past if a physician prescribed a special formula we were not able to give all the supplemental foods wick fought hard for this change and we are excited that usda has allowed it the following is a tour of the new medical form that our partner physicians and nurses will be filling out for some foods and formula as you can see the new medical form is divided into an infant section and a woman child section for prescribing infant formula as before state the type of formula prescribed amount and the intended length of use if you desire that the infant also receive food please check these boxes the medical diagnosis must be included on the form for the woman or child portion of the form we'd like to point out th

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