Women, Infant and Children

Medical Documentation Form 1:
Use this form to request special formulas and/or medical foods for patients with qualifying medical conditions

Medical Documentation Form 2:
Use this form to authorize special food substitutions for children and women enrolled in the Georgia WIC Program

Qualifying Medical Diagnoses

FAQ - Medical Documentation Forms

WIC Approved Formula Guide

WIC Approved Foods List

Income Eligibility Guidelines

WIC Clinic Locator

Georgia WIC Change - Family Physicians Need to Know

In a recent letter to providers from the Georgia Office of Nutrition and Women, Infants and Children (WIC), it was announced the new formula contractor is Nestle/Gerber. Beginning October 1, 2010, Gerber Good Start Gentle PLUS and Gerber Good Start Soy PLUS will become the new standard infant formulas. WIC eligible mothers who decide not to breast feed should be given one of these WIC contracted formulas unless an alternative formula is medically indicated.

Georgia's WIC policy indicates that lactose-reduced and/or rice-added standard formulas and special medical formulas are only available to WIC infants with documented special nutritional needs. Should you determine that an alternative formula is required, due to a qualifying medical condition, be sure to complete the medical documentation form #1. This form, along with additional WIC information, can be obtained on the GAFP website under Public Health Resources: http://www.gafp.org/women_infant_children.asp or from the Georgia Public Health website: http://health.state.ga.us/programs/wic/hcprovider.asp

Inserted in this newsletter the WIC Formula Guide, provided for your reference. Contact Cathi Durham, GAFP Director of Outreach, for additional information at (800) 392-3841 or cdurham@gafp.org

October 18, 2010