In addition to the above, WIC requires healthcare providers to prescribe as needed: Is signed and dated by a healthcare provider with prescriptive authority.Indicates how long the prescription is good for (up to a maximum of six months).When a client needs a therapeutic formula or medical food, WIC requires a completed WIC Medical Documentation Form that: Prescriptions written on prescription pads won't be accepted. WIC will accept prescriptions for foods and formula only when written on a WIC Medical Documentation Form. ![]() ![]() ![]() We have developed the WIC medical documentation forms to make it easier for medical providers to give WIC staff all the required information. Federal regulations require WIC to obtain detailed prescriptive instructions from medical providers about which therapeutic formulas and WIC supplemental foods to provide to clients.
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