This is a legal form that was released by the Michigan Department of Health and Human Services - a government authority operating within Michigan.
The document is provided in Arabic. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the MDHHS-5913 form?
A: The MDHHS-5913 form is the Authorization to Release WIC Information form in Michigan (Arabic).
Q: What is WIC?
A: WIC stands for Women, Infants, and Children. It is a federal assistance program that provides nutrition support for low-income pregnant women, new mothers, and young children.
Q: Why would I need to complete the MDHHS-5913 form?
A: You would need to complete the MDHHS-5913 form to authorize the release of your WIC information to another party, such as a healthcare provider or organization.
Q: Is the MDHHS-5913 form available in Arabic?
A: Yes, the MDHHS-5913 form is available in Arabic in Michigan.
Form Details:
Download a printable version of Form MDHHS-5913 by clicking the link below or browse more documents and templates provided by the Michigan Department of Health and Human Services.