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You are Here: Home Page > WIC Program - Women, Infants, Children > Information for Health Care Providers  

Information for Health Care Providers

  • New York State WIC Approved Formulas
  • Medical Documentation Form (for WIC Formula and Approved WIC Foods) (PDF, 324KB, 1pg.)
  • Medical Documentation Form Instructions (PDF, 73KB, 2pg.)
  • WIC Medical Referral Form for Women (PDF, 121KB, 1pg)
  • WIC Medical Referral Form for Infants and Children (PDF, 123KB, 1pg)
  • WIC and Breastfeeding
Questions or comments: NYSWIC@health.state.ny.us
Revised: july 2010
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