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Click ‘Get Form’ to open the NJ WIC form in our editor.
Begin by entering the child's name and birthdate in the designated fields. Ensure accuracy as this information is crucial for identification.
Fill in the parent or guardian's name and telephone number. This contact information will be used for any follow-up communications.
Provide your address, ensuring it matches your proof of residence documentation that you will bring to your appointment.
Complete the anthropometric and laboratory data section by entering height, weight, and blood test details. Make sure these measurements are recent, as specified.
If this is your first time applying for WIC, complete the additional section regarding birth length and weight, including any relevant medical history.
Finally, sign the authorization release section to permit your healthcare provider to share necessary medical information with the WIC program.

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Can I type my eSignature on my wic form nj?

Yes, a typed name is recognized as a legitimate electronic signature when you create it on your form using a compliant solution like DocHub. Simply import your wic form nj to our editor, click Sign in the top tool pane → Create your signature → Type your name in the proper tab, and decide how it will appear on your document.

How do you get wic health form?

You can find the latest and most relevant version of the wic health form in our DocHub forms library. Search it by categories or utilize the search field to get the exact template that fits your situation. You may open this form for editing once you find it.

How do I contact WIC NJ?

The New Jersey WIC Program Is Open Please contact your local WIC clinic at or the NJ State WIC Office at 609-292-9560 if you have questions.

How long does WIC last in NJ?

HOW LONG CAN I STAY ON WIC? Pregnant women are certified for up to six (6) weeks past their due date. Breastfeeding women are certified up to the infants first birthday. Non-breastfeeding women or women who stop breastfeeding receive benefits up to six (6) months after baby is born.

How do I email WIC in NJ?

Please call WIC for an appointment. Click here to learn more about WIC services and qualifications. To fill out a complaint form reporting a WIC related issue or complaint from a supermarket please contact the WIC office at (201)547-6842 or email us at wichelp@jcnj.org.

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How do I get approved for WIC in NJ?

You will also need to bring the following materials: Proof of identity. Proof of pregnancy. Proof of income. Proof of residency. Your health care referral form (if completed by your doctor or other health care provider) Your childrens Universal Child Health Record (UHCR) Your childrens vaccination records.

How long does WIC last in NJ?

HOW LONG CAN I STAY ON WIC? Pregnant women are certified for up to six (6) weeks past their due date. Breastfeeding women are certified up to the infants first birthday. Non-breastfeeding women or women who stop breastfeeding receive benefits up to six (6) months after baby is born.

What does NJ WIC provide?

About New Jersey WIC WIC is a successful public health nutrition program that provides wholesome food, nutrition education and community support for income eligible women who are pregnant and post-partum, infants and children up to five years old.

Can you use NJ WIC online?

NJ WIC Online allows participants to complete their WIC nutrition education requirements with a selection of fun games and activities.

Does Acme take WIC NJ?

WIC is currently not supported for online delivery and pickup orders but can be used for in-store purchases.

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