Form WIC-51 Special Formula Request - Wic Program - Arkansas

What Is Form WIC-51?

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

FAQ

Q: What is Form WIC-51?
A: Form WIC-51 is a special formula request form for the WIC Program in Arkansas.

Q: What is the WIC Program?
A: The WIC Program is a federal assistance program that provides nutrition education, healthy food, and support to low-income women, infants, and children.

Q: Who can use Form WIC-51?
A: Form WIC-51 can be used by WIC participants in Arkansas who need a special formula that is not typically stocked by the program.

Q: How do I request a special formula using Form WIC-51?
A: To request a special formula, you need to fill out Form WIC-51 with the required information and submit it to your local WIC clinic in Arkansas.

Q: Can I request any type of special formula using Form WIC-51?
A: You can request a special formula that is medically necessary and supported by a health care provider's written prescription or medical documentation.

Q: What should I do if my request on Form WIC-51 is denied?
A: If your request for a special formula is denied, you can ask for a hearing to appeal the decision.