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7 03B MIWIC Infant Child Med Doc-no header doc

7 03B MIWIC Infant Child Med Doc-no header doc 2025

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The document outlines the medical documentation requirements for the Michigan WIC Program, specifically for infants and children up to 4 years old. It details the process for healthcare providers to prescribe WIC formula and authorized foods based on qualifying medical conditions. The form includes sections for client information, prescribed formulas, supplemental food allowances, and specific dietary restrictions. Additionally, it lists qualifying conditions that necessitate special dietary needs and provides maximum monthly allowances of supplemental foods for eligible clients.

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