Form DOH-799 Wic Medical Referral Form - New York

What Is Form DOH-799?

This is a legal form that was released by the New York State Department of Health - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form DOH-799?
A: Form DOH-799 is the Wic Medical Referral Form used in New York.

Q: What is the purpose of Form DOH-799?
A: The purpose of Form DOH-799 is for medical providers to refer individuals to the WIC program in New York.

Q: Who uses Form DOH-799?
A: Medical providers use Form DOH-799 to refer individuals to the WIC program in New York.

Q: Is Form DOH-799 specific to New York?
A: Yes, Form DOH-799 is specific to the state of New York and is used for the WIC program in New York.

Q: Can individuals fill out Form DOH-799 themselves?
A: No, Form DOH-799 must be completed by a medical provider.

Q: What information is required on Form DOH-799?
A: Form DOH-799 requires information such as the individual's name, contact information, medical conditions, and the reason for the referral to the WIC program.

Q: What happens after Form DOH-799 is completed?
A: After Form DOH-799 is completed, it is submitted to the local WIC agency and the individual will be contacted to schedule an appointment.

Q: Is there a fee to submit Form DOH-799?
A: No, there is no fee to submit Form DOH-799.