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WIC Infant Formula

Information for Health Professionals

  • Medical Provider Letter - Formula Contract Change (PDF)"Opens a new browser window"
  • WIC Infant Formulas - Contract Formula (PDF)"Opens a new browser window"
  • Formula Change FQAs (PDF)"Opens a new browser window"
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    Staff Training

  • WIC Formula Change 2007 - Frequently Asked Questions (PDF)"Opens a new browser window"
  • WIC Formula Change 2007 - Information for RDs and DNs (PDF)"Opens a new browser window"
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    Education Materials

  • Staff and Grocer Flyer: New WIC Infant Formulas (PDF)"Opens a new browser window"
  • Participant Handout: Changing to a New Formula (PDF)"Opens a new browser window"
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    Forms

  • CDPH 4143 (PDF)"Opens a new browser window" - Infant Screening and Medical Justification for Therapeutic Formulas
  • CDPH 4144 (PDF)"Opens a new browser window" - Child Screening and Medical Justification for Therapeutic Formulas
  • CDPH 4150 (PDF)"Opens a new browser window" - Therapeutic Formulas Request

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