Department of Public Health and Human Services

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Healthcare Providers

Prescription Forms for Healthcare Providers

Montana's healthcare providers play a crucial role in improving health and nutrition outcomes for our WIC families. Health care providers and WIC work together to communicate consistent messages to help families make informed decisions about their health and to promote and support exclusive breastfeeding for the first six months of life, and continued breastfeeding for at least the first year.

new Formula Prescription Form 


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 Montana WIC Program
 (State Administrative Office)
 1400 Broadway, Cogswell Bldg. C305
 PO Box 202951
 Helena, MT 59620-2951
 Telephone: 800-433-4298 or (406) 444-5533