DOH Form 962-937 Wic / Medicaid Nutrition Form - Washington

DOH Form 962-937 Wic / Medicaid Nutrition Form - Washington

What Is DOH Form 962-937?

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

FAQ

Q: What is DOH Form 962-937?
A: DOH Form 962-937 is the WIC/Medicaid Nutrition Form in Washington.

Q: What is WIC?
A: WIC stands for Women, Infants, and Children. It is a nutrition program that provides healthy food and support to pregnant women, new mothers, and young children.

Q: What is Medicaid?
A: Medicaid is a government health insurance program that provides medical coverage to low-income individuals and families.

Q: What is the purpose of DOH Form 962-937?
A: DOH Form 962-937 is used to determine eligibility for WIC and Medicaid nutrition services in Washington.

Q: Who needs to fill out DOH Form 962-937?
A: Pregnant women, new mothers, and young children who wish to receive WIC or Medicaid nutrition services in Washington need to fill out this form.

Q: Are there any fees for WIC or Medicaid nutrition services?
A: No, WIC and Medicaid nutrition services are free for eligible individuals and families.

Q: What documentation is required to fill out DOH Form 962-937?
A: You may need to provide proof of income, residency, and identification when filling out this form.

Q: Can I apply for both WIC and Medicaid nutrition services using this form?
A: Yes, you can apply for both programs using DOH Form 962-937.

Q: Who can I contact for more information about DOH Form 962-937?
A: For more information, you can contact your local WIC clinic or Medicaid office in Washington.

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Form Details:

  • Released on March 1, 2014;
  • The latest edition provided by the Washington 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 DOH Form 962-937 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.

Download DOH Form 962-937 Wic / Medicaid Nutrition Form - Washington

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