Form DOH-132 Wic Medical Referral Form for Infants and Children - New York

Form DOH-132 Wic Medical Referral Form for Infants and Children - New York

What Is Form DOH-132?

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.

FAQ

Q: What is the DOH-132 WIC Medical Referral Form?
A: The DOH-132 WIC Medical Referral Form is a document used in New York for infants and children to receive WIC benefits.

Q: Who can use the DOH-132 WIC Medical Referral Form?
A: Infants and children in New York who need medical referral for WIC benefits can use this form.

Q: How do I obtain the DOH-132 WIC Medical Referral Form?
A: You can obtain the DOH-132 WIC Medical Referral Form from your healthcare provider or local WIC office in New York.

Q: What information is required on the DOH-132 WIC Medical Referral Form?
A: The form requires information about the child's medical condition and the healthcare provider's recommendation for WIC benefits.

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Form Details:

  • Released on October 1, 2008;
  • The latest edition provided by the New York 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 Form DOH-132 by clicking the link below or browse more documents and templates provided by the New York State Department of Health.

Download Form DOH-132 Wic Medical Referral Form for Infants and Children - New York

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