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Wic pediatric referral form

Wic pediatric referral form 2025

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4.8 out of 5

47 votes

The document outlines the procedures and requirements for the California WIC Program, specifically focusing on pediatric referrals for patients needing therapeutic formulas. It includes sections for patient information, eligibility assessment, health measurements, breastfeeding status, food restrictions based on medical diagnoses, and health coverage options. The document emphasizes the importance of accurate completion to ensure timely access to WIC services and products.

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2016	4.8 Satisfied (47 Votes)

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Got questions?

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

Where can I find my WIC family ID number in California?

Family ID Check the CA WIC App for your 9 digit Family ID. In the CA WIC App, click the 3 lines in the top left corner to open the menu. Your Family ID will be at the top of the menu.

Can I use my WIC card at self-checkout in California?

The option to enable the California WIC Card at self-check registers is up to the individual store. Call the store ahead of your visit or go to the customer service desk while in the store to ask about using the WIC card at self-checkout.

How to get proof of WIC benefits in California?

Use the free California WIC App on your smart phone. Get a printout at your WIC office. Look at your store receipt from your last shopping trip. Ask the cashier or customer service desk at the store to print out your WIC Food Balance.

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.

Can I still use my WIC card if I lost it?

What if my card is lost or stolen? Call customer service or your WIC clinic to cancel your card as soon as possible. You can get a new card at your WIC clinic. Any unused benefits for the current benefit period will be available on your new card, but any items purchased (even if not by you) cannot be replaced.