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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 (PDF, 324KB, 1pg.)
• Medical Documentation Form Instructions (PDF, 73KB, 2pg.)
• Revised Medical Referral Form for Women (PDF, 121KB, 1pg)
• Revised Medical Referral Form for Infants and Children (PDF, 123KB, 1pg)