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If your child has been prescribed a special formula, with a qualifying medical condition, we will need a Medical documentation form filled out by your pediatrician. The form can be found here
Instructions on filling out Medical Documentation Form
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Identification (ID) is needed for every appointment.
If you are completing a certification we will also need to see proof of income and proof of physical address. Proof of income can include an active Medicaid card or most recent 30 days of paystubs for the household. If your address is listed on your form of ID that can be used for proof of address (cannot be a P.O. Box), or postmarked mail.
For a full list of what documentation is eligible please visit: www.health.ny.gov
If you are a parent/guardian of a child under the age of five, you may qualify for WIC. Families who are income eligible or participate in SNAP, Medicaid or TANF can qualify to receive monthly benefits. To apply or find out if you qualify please call our office at 518-746-2460
Our income qualifications can be found here
WIC Approved Formulas and Supplements