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Skip Navigation LinksWVDHHR > West Virginia WIC > Forms/Materials > Participants

Participants

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Formula Authorization Form -WIC-53​​​

Formula Authorization Form for medical formulas/medical foods which must be completed by a health care provider.

Consent for Release of Participant Information​

Release for any information that needs release from WIC to another organization.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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