Texas Wic Medical Request for Non-standard Formulas - Texas (English / Spanish)

Texas Wic Medical Request for Non-standard Formulas - Texas (English / Spanish)

Texas Wic Medical Request for Non-standard Formulas is a legal document that was released by the Texas Health and Human Services - a government authority operating within Texas.

FAQ

Q: What is the Texas WIC Medical Request for Non-standard Formulas?
A: It is a form for requesting non-standard formulas through the Texas WIC program.

Q: Who can use the Texas WIC Medical Request for Non-standard Formulas?
A: Medical providers can use this form to request non-standard formulas for WIC participants in Texas.

Q: What are non-standard formulas?
A: Non-standard formulas are specialized infant formulas or medical foods that are prescribed to meet specific nutritional needs or medical conditions.

Q: Is the form available in both English and Spanish?
A: Yes, the Texas WIC Medical Request for Non-standard Formulas is available in both English and Spanish.

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Form Details:

  • Released on July 1, 2021;
  • The latest edition currently provided by the Texas Health and Human Services;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.

Download Texas Wic Medical Request for Non-standard Formulas - Texas (English / Spanish)

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