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Information for Providers

​WIC may provide medical formula or milk substitutes when requested in writing by a health care provider.  Please complete all sections of the appropriate form and fax to Dakota County WIC office at 952-891-7568.

RequestMedicalFormula.docRequest for medical formula
Request for patient older than one year of age who requires a milk substitute, such as soy milk or tofu

Additional information for health care providers from the Minnesota Department of Health.

Last updated: 3/5/2013 7:14 AM