Get Wic Approved Formula Sc
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How to fill out the WIC Approved Formula Sc online
The WIC Approved Formula Sc form is essential for individuals seeking WIC-approved special formulas and foods. This guide provides detailed, step-by-step instructions to assist users in accurately completing the form online.
Follow the steps to successfully complete the WIC Approved Formula Sc online.
- Click the ‘Get Form’ button to obtain the form and open it for editing.
- Enter the participant’s name in the designated field.
- Input the participant’s date of birth accurately.
- Fill in the parent or caregiver’s first and last name in the provided space.
- Indicate the qualifying medical diagnosis(es) by checking the appropriate box or select 'other' and provide the diagnosis and ICD-9 code where necessary.
- Complete the current data section by entering weight, head circumference, hemoglobin (Hgb), and length/height along with the dates these measurements were taken.
- Specify the WIC special formula prescribed in the relevant field.
- Select the prescribed amount per day by checking either 'maximum allowed' or specifying the ounces per day.
- Choose the form of the special formula (powder, concentrate, or RTF) by marking the appropriate box.
- Indicate the length of use by checking the corresponding duration box.
- Add any special instructions or comments in the designated area.
- Select any options related to supplemental foods per the instructions provided.
- Complete the soy milk section if applicable, including the diagnosis.
- Obtain the health care provider's signature and date.
- Fill in the health care provider's printed name, medical office/clinic name, telephone number, and address.
- Once completed, save changes, download, print, or share the form as required.
Complete your WIC Approved Formula Sc online today for timely assistance.
Related links form
WIC provides financial assistance for families to obtain WIC approved formula through special vouchers or cards. When you enroll in the WIC program in South Carolina, you will receive detailed information on which formulas are covered, along with instructions on how to redeem your benefits. This process simplifies obtaining essential nutrition for your baby, reducing the stress on your budget. Using WIC approved formula SC allows families to focus more on nurturing their child’s growth.
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