Printable wic formula forms florida 2025

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The document outlines the Florida WIC Program's policies regarding medical documentation for formula and food provision. It emphasizes support for breastfeeding while detailing the approval process for infant formulas and supplemental foods based on qualifying medical conditions. The document includes specific guidelines for healthcare providers to request alternative formulas, lists WIC contract formulas, and highlights the importance of anthropometric data in assessing eligibility. Additionally, it addresses non-qualifying conditions and provides information on discrimination policies.

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Click ‘Get Form’ to open the printable WIC formula form in the editor.
Begin by entering the client’s name and date of birth in the designated fields at the top of the form.
In the 'FORMULA(S) and FOOD OPTIONS' section, indicate whether WIC contract formulas have been tried by selecting 'yes' or 'no'. If contraindicated, provide a brief explanation.
List the requested formula names along with either 'maximum amount allowed' or specify the required ounces per day for each formula.
Select any applicable options regarding supplemental foods and provide any special instructions or restrictions as needed.
Complete the anthropometric data section, including height and weight, ensuring that this information is accurate for proper assessment.
If applicable, fill out the milk substitutes section based on age and dietary needs, providing necessary details about qualifying medical conditions.
Finally, ensure that a physician's signature is included along with their contact information before submitting the form.

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How do I apply for WIC formula?

You must be currently living in Florida, but you dont have to be a U.S. citizen. ONE proof of identification (ID) for you and ONE proof of ID for any infant or child applying for WIC, such as a birth certificate, drivers license, crib card, military ID, photo ID, Social Security card, or hospital record.

What formula does Florida WIC cover?

Apply online, text APPLY to 1-844-TEXT-WIC, or call a clinic near you to request an appointment. Call a WIC clinic near you to request an appointment. Apply online or call a WIC clinic near you to request an appointment.

Can you buy formula with EBT Florida?

In addition to formula, SNAP benefits cover baby food, cereals and other staple foods that contribute to your childs nutrition. However, families who qualify for WIC may receive extra support, including access to specialized infant formula and other healthy food options tailored for babies.

How much does WIC give per month in Florida?

When you qualify and sign up for WIC, you can get: Monthly food benefits worth an average of $60 a month per family. One-on-one nutrition advice breastfeeding support tailored to your needs, including pumps. Health screenings for pregnant and new mothers, infants, and children.