Form MDHHS-5913 Authorization to Release Wic Information - Michigan (Arabic)

Form MDHHS-5913 Authorization to Release Wic Information - Michigan (Arabic)

This is a legal form that was released by the Michigan Department of Health and Human Services - a government authority operating within Michigan.

The document is provided in Arabic. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the MDHHS-5913 form?
A: The MDHHS-5913 form is the Authorization to Release WIC Information form in Michigan (Arabic).

Q: What is WIC?
A: WIC stands for Women, Infants, and Children. It is a federal assistance program that provides nutrition support for low-income pregnant women, new mothers, and young children.

Q: Why would I need to complete the MDHHS-5913 form?
A: You would need to complete the MDHHS-5913 form to authorize the release of your WIC information to another party, such as a healthcare provider or organization.

Q: Is the MDHHS-5913 form available in Arabic?
A: Yes, the MDHHS-5913 form is available in Arabic in Michigan.

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Form Details:

  • Released on March 1, 2021;
  • The latest edition provided by the Michigan Department of Health and Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form MDHHS-5913 by clicking the link below or browse more documents and templates provided by the Michigan Department of Health and Human Services.

Download Form MDHHS-5913 Authorization to Release Wic Information - Michigan (Arabic)

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  • Form MDHHS-5913 Authorization to Release Wic Information - Michigan (Arabic), Page 1
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