Form WIC-42 Nj Wic Health Care Referral - New Jersey

What Is Form WIC-42?

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

FAQ

Q: What is Form WIC-42?
A: Form WIC-42 is a health care referral form used in the WIC program in New Jersey.

Q: What is the WIC program?
A: The WIC program (Women, Infants, and Children) is a federal assistance program that provides nutrition education, healthy food, and support to low-income pregnant women, new mothers, and young children.

Q: Who uses Form WIC-42?
A: Form WIC-42 is used by WIC participants in New Jersey when they require a referral to a health care provider for medical or nutritional services.

Q: What information is required on Form WIC-42?
A: Form WIC-42 requires the participant's personal information, including name, address, and phone number, as well as the health care provider's information and reason for the referral.

Q: Is Form WIC-42 mandatory?
A: Yes, if a participant in the New Jersey WIC program requires a health care referral, they must complete and submit Form WIC-42.

Q: Can I request multiple referrals on Form WIC-42?
A: Yes, Form WIC-42 allows participants to request multiple referrals to different health care providers if needed.

Q: Do I need to pay for the services requested on Form WIC-42?
A: No, the services requested on Form WIC-42 are covered by the WIC program and should not require any out-of-pocket payment from the participant.