WIC Offers a Variety of Specialty Formulas and Medical Foods
A healthcare professional licensed to write medical prescriptions is required to provide a completed copy of the WIC Medical Documentation Form:
- Medical determination of a qualifying condition;
- Name of the prescribed WIC formula or nutritional;
- Quantity needed per day of prescribed WIC formula or nutritional;
- Length of time the WIC formula or nutritional is prescribed to the participant;
- Indication of supplemental food restrictions or contraindications; and
- Signature of healthcare professional, date, and contact information.