Official State of Rhode Island website

State of Rhode Island Department of Health

Order Resources

Order

Shopping cart 0 items
Go to Order

Audience

Health Topic

Type

Type Title
Forms, Certification WIC 6C Voter Registration Certification

Agency Voter Registration Certification
Forms, Logs Breastfeeding Peer Counselor Monthly Contact Record
Forms, Assessment Breastfeeding Peer Counselor PN & PP Assessment Form
Forms WIC 375 Caretaker Designation

Caretaker Designation Form
Forms WIC 318 Delayed Benefits Signature Authorization

Delayed benefit Signature Authorization
Forms Formula Intolerance

Formula Intolerance
Forms, Medical Documentation For WIC Formula And Approved WIC Children

Medical Documentation for WIC Formula & Foods - Children
Forms, Medical Documentation For WIC Formula And Approved WIC Infants

Medical Documentation for WIC Formula & Foods - Infants
Forms, Medical Documentation For WIC Formula And Approved WIC Foods For Women

Medical Documentation for WIC Formula & Foods - Women
Forms, Medical WIC Medical Information Form For Breastfeeding Postpartum Women

Medical Information Form for Breastfeeding/Postpartum Women
Forms, Medical WIC Medical Information for Infants and Children

Medical Information Form for Infants/Children
Forms, Medical WIC Medical Information Form for Pregnant Women

Medical Information Form for Pregnant Women
Forms, Medical WIC Medical Necessity Breast Pump

Medical Necessity Breast Pump Prescription
Forms WIC - Denial of Eligibility/Program Termination (English & Español)
Forms WIC - Equipment Inventory Log
Forms WIC - Film & Photographs Publication Authorization (English & Español)
Forms WIC - In Person Voter Registration Forms
Forms WIC - Request For Fair Hearing
Forms WIC Program - Reapplication Notice (English & Español)
Forms WIC Vendor

WIC Vendor Complaint
Forms WIC-101 Head Start & Lead Center (English & Español)
Forms, Logs WIC-6W Daily Registry