This version of the form is not currently in use and is provided for reference only. Download this version of Form DOH-4456 for the current year.
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.
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.
Form Details:
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.