Get Printable Wic Forms Texas

This guide provides a clear, step-by-step approach to filling out the Printable Wic Forms Texas. By following these instructions, users will be able to complete their forms accurately and efficiently, ensuring they meet the necessary requirements for approval.

Follow the steps to fill out the Printable Wic Forms Texas online.

1. Press the ‘Get Form’ button to access the form and open it in the designated editor.
2. Begin by entering the patient's last name and first name in the provided spaces, ensuring accuracy for proper identification.
3. Input the patient's birthdate in the format mm/dd/yyyy, confirming that the date is correctly recorded.
4. Fill in the current weight of the patient. Specify whether the weight is in pounds and ounces or kilograms, and enter the relevant dates when the weight was recorded.
5. Next, enter the patient's current height using either inches or centimeters, as indicated.
6. Specify the requested formula, indicating whether it is Similac with Iron (powder or concentrate) or another type as needed.
7. Select the diagnosis or symptoms related to the formula request from the dropdown options provided.
8. Indicate the length of issuance requested for the formula, providing specific details as necessary.
9. Include any additional relevant information regarding the formula request in the designated section.
10. Ensure the form is printed and signed by the prescribing medical practitioner (MD, DO, PA, or NP) after filling out all required information.
11. Finally, return the completed form to WIC for the necessary approval assessment.

Complete your Printable Wic Forms Texas online today to streamline the process!