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Form CDPH247A Pediatric Referral - Wic Program - California
What Is Form CDPH247A?
This is a legal form that was released by the California Department of Public Health - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form CDPH247A?
A: Form CDPH247A is a pediatric referral form for the WIC program in California.
Q: What is the WIC program?
A: The WIC program is a supplemental nutrition program for Women, Infants, and Children in low-income families.
Q: Who can use Form CDPH247A?
A: Form CDPH247A is used by healthcare providers to refer pediatric patients to the WIC program.
Q: What information is required on Form CDPH247A?
A: Form CDPH247A requires information such as the patient's name, date of birth, address, and medical information.
Form Details:
- Released on May 1, 2023;
- The latest edition provided by the California Department of Public 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 fillable version of Form CDPH247A by clicking the link below or browse more documents and templates provided by the California Department of Public Health.
