WIC
Wic 48 Form. Louisiana wic medical request for formula and/or food. Please complete all sections and return this form to the participant’s wic clinic.
Please complete all sections and return this form to the participant’s wic clinic. This document is available on our. *all requests are subject to. Louisiana wic medical request for formula and/or food. The participant must complete the.
The participant must complete the. This document is available on our. Please complete all sections and return this form to the participant’s wic clinic. Louisiana wic medical request for formula and/or food. *all requests are subject to. The participant must complete the.
