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MI-WIC Offline Templates
MI-WIC Offline Templates
- DCH-1314 MI-WIC Pregnant Client Offline Template
- DCH-1315 MI-WIC Postpartum Offline Template
- DCH-1317 MI-WIC Infant Offline Template
- DCH-1319 MI-WIC Child Offline Template
- DCH-1320 MI-WIC Eligibility Intake Offline Template
- DCH-1321 MI-WIC Child Mid-Certification Health Evaluation Offline Template
- MDHHS-6179 MI-WIC No Proof of Identity Attestation
- MDHHS-6180 MI-WIC No Proof of Income Attestation
- MDHHS-6181 MI-WIC No Proof of Residency Attestation
- Medical Conditions and Illnesses, revised 12/23 (English, Spanish, Arabic)