Skip to content

What if the agency receives a Medical Documentation Form (WIC-27) from the health care provider and some clarifications are needed before issuing the food benefits?

The WIC local agency must follow up with the physician by telephone and clarify the missing information on the WIC-27. If the physician does not call back in a reasonable timeframe the agency may issue one (1) month of food benefits based on information provided on the medical documentation form. However, a complete WIC-27 form must be received before additional formula and food is issued. 

Feedback and Knowledge Base