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INFORMATION FOR HEALTHCARE PROFESSIONALS     Forms       941.1 WIC Form FD 941.1A (old) This medical documentation form expires on September 30, 2009. 941.1 WIC Form FD 941.1A (new) A new fillable form effective October 1, 2009. WIC Update for Pediatric Residents A Power Point slide     New Medical Documentation Policies Effective October 1, 2009 Medical Documentation Letter to Healthcare Providers   Draft Medical Documentation Policy   Draft Decision Tree   Draft Qualifying Medical Conditions   Draft Medical Documentation For Infants   Draft Medical Documentation For Children   Draft Medical Documentation For Women       Choose a Topic... Home Background Benefits of WIC Breastfeeding Information Hawaii WIC Clinic Locations Hawaii WIC Store List Hawaii WIC Store Locations How to Apply for WIC Benefits Income Eligibility Requirements Information for Hawaii WIC Vendors Information for Healthcare Professionals Information for WIC Local Agencies Nutrition Information

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Hawaii State Department of Health · 1250 Punchbowl Street · Honolulu, HI 96813