Women, Infants and Children

INFORMATION FOR HEALTHCARE PROFESSIONALS

Forms

• WIC Referral Form 2/12/2015
• WIC Medical Documentation Form

Medical Documentation Policies

• Letter Regarding Similac Sensitive and Total Comfort 3/1/2021
• Letter to Health Care Providers 2/28/2022
• Hawaii WIC Approved Formula List 4/18/2019

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Contact Information

Iris Takahashi, MPH, RDN, CLC, Clinic Operations Section Chief, WIC Services Branch Leiopapa A Kamehameha Building State Office Tower 235 S. Beretania Street, Suite 701 Honolulu, Hawaii 96813 (808) 586-8175 or Toll Free (Outer Isle only) 1-888-820-6425 Fax (808) 586-8189