Health Care Providers

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WIC Forms

Contact your local WIC office for WIC forms and other materials. Click here for a local phone number or call 1-800-342-3556 and the operator will provide you with the local phone number.

Medical Documentation for Formula and Food Form 254kb PDF
Medical Referral Form 77kb PDF
Medicaid Authorization Form 50.8kb PDF

Program Information

Who is eligible for WIC and How to Apply
WIC Income Criteria 282.9kb PDF
WIC Facts 866.7kb PDF
Contract Infant Formulas 51.9kb PDF
Breastfeeding Facts and Research 159kb PDF

Outreach Materials

WIC Outreach Pamphlet
  English 432kb PDF
  Spanish 287kb PDF
  Haitian Creole 286kb PDF
Are You Pregnant? Flyer 140.1kb PDF
WIC Outreach Poster 205kb PDF

Health Care Provider Information

Health Care Providers - The New WIC Food Packages: What you should know about the changes (10/1/09)
Health Care Providers - The New WIC Food Packages: What you should know about the changes (10/1/09) ADA Compliant Version 282.9kb PDF
Health Care Provider Letter from State Surgeon General - Dr Ana Viamonte Ros 866.7kb

Some documents above are in the Portable Document Format (PDF) and you may need Adobe Acrobat Reader (opens in new window) to view or print them.