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WIC Medical Documentation Form - Hawaii Department of Health 2025

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The document outlines the medical documentation requirements for the Women, Infants and Children (WIC) program in Hawaii. It includes sections for patient information, prescribed formula, WIC supplemental foods, and health care provider details. The document specifies qualifying medical conditions for special formulas, lists approved contract and non-contract formulas, and provides guidelines on issuing supplemental foods based on patient needs.

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2019	4.8 Satisfied (52 Votes)
2014	3.9 Satisfied (45 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What do you get on WIC in Hawaii?

Eat well: WIC food packages typically include cereal, juice, eggs, milk, peanut butter, dried and canned beans, tofu, fruits and vegetables, and whole-wheat bread. WIC packages also include canned fish and cheese for breastfeeding moms, and baby food for babies.

What does WIC give you in Hawaii?

WIC is a program that helps pregnant women, new parents, and young children eat well and stay healthy. Eat well: WIC food packages typically include cereal, juice, eggs, milk, peanut butter, dried and canned beans, tofu, fruits and vegetables, and whole-wheat bread.

What are the WIC food packages?

The WIC food packages provide supplemental foods designed to address the specific nutritional needs of income-eligible pregnant, breastfeeding, and non-breastfeeding postpartum individuals, infants, and children up to five years of age who are at nutritional risk.

What does the Hawaii Department of health do?

Health department employees work tirelessly to promote healthy lifestyles and workplaces, prevent disease and injury, encourage the strength and integrity of families and communities, assure basic physical and mental health care, and prevent pollution to preserve a clean, healthy and natural environment.

What is the health assessment for WIC?

The health assessment includes height; weight; and hemoglobin, a simple blood test to determine iron levels. The dietitian will also ask questions about your general health and activity levels. The nutrition assessment consists of core questions about your eating habits.

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What does WIC give moms?

Mom receives food valued at approximately $41 per month. Only mothers who choose the Fully or Mostly Breastfeeding Packages will receive WIC foods for one full year. Moms who breastfeed some or fully formula feed will receive a food package until the baby is 6 months old.

What is free with WIC?

WIC provides free, healthy foods and personalized nutrition education, breastfeeding support, referrals to other services and more. WIC now uses Electronic Benefit Transfer (EBT) cards! The WIC EBT card works just like a debit card. You can also save time with virtual appointments in many locations.

What is WIC on health form?

WIC is the Special Supplemental Nutrition Program for Women, Infants, and Children. WIC provides free healthy foods, breastfeeding support, nutrition education and referrals to other services, to support you and your family.

WIC Medical Documentation Form - Hawaii Department of Health 2025

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What do you get on WIC in Hawaii?

What does WIC give you in Hawaii?

What are the WIC food packages?

What does the Hawaii Department of health do?

What is the health assessment for WIC?

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What does WIC give moms?

What is free with WIC?

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