Form DOH-4456 Medical Documentation for Wic Formula and Approved Wic Foods for Women, Infants and Children - New York

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Form DOH-4456 Medical Documentation for Wic Formula and Approved Wic Foods for Women, Infants and Children - New York

What Is Form DOH-4456?

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 the purpose of the DOH-4456 form?
A: The DOH-4456 form is used for documenting medical information related to WIC formula and approved WIC foods for Women, Infants, and Children in New York.

Q: Who is eligible for WIC benefits?
A: Pregnant women, new mothers, and young children who meet income guidelines are eligible for WIC benefits.

Q: What information is included in the DOH-4456 form?
A: The DOH-4456 form includes information about the participant, such as medical conditions, formula or food recommendations, and any necessary dietary modifications.

Q: How is the DOH-4456 form used?
A: The DOH-4456 form is used by healthcare providers to provide appropriate WIC formula and approved food recommendations for eligible participants.

Q: Are there any fees associated with WIC?
A: No, participation in the WIC program is free.

Q: Can I use my WIC benefits in other states?
A: Yes, WIC benefits can be used in all 50 states, the District of Columbia, and U.S. territories.

Q: How long can I receive WIC benefits?
A: Participants can receive WIC benefits until their child turns 5, or in the case of women, until 6 weeks after giving birth.

Q: What other services are available through WIC?
A: WIC participants also have access to nutrition education, breastfeeding support, and referrals to other healthcare and social services.

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Form Details:

  • Released on May 1, 2015;
  • The latest edition provided by the New York State Department of Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form DOH-4456 by clicking the link below or browse more documents and templates provided by the New York State Department of Health.

Download Form DOH-4456 Medical Documentation for Wic Formula and Approved Wic Foods for Women, Infants and Children - New York

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