Skip to content

Who can complete a Medical Documentation Form (WIC-27)?

WIC will accept a completed WIC-27 from the following providers:

  • Medical doctor (MD)
  • Physician assistant supervised by a medical doctor
  • Nurse practitioner (certified clinical nurse specialist) who has an agreement with a physician based on standards established by the Missouri Nurses Association and the Missouri Medical Association
  • Licensed doctor of osteopathy duly licensed to practice medicine 

Feedback and Knowledge Base