

WIC staff will conduct a short health screening for all family members applying for WIC. This information is for record keeping purposes only and does not affect your eligibility. Documents that prove who you are, where you live, participation in assistance programs and the income of each member of your household who works.Work with your community and hospital to promote and support breastfeeding and encourage healthy lifestylesĪll information shared with WIC staff is confidential.Help you breastfeed as long as you and your baby want to breastfeed.Respect you and your decisions about feeding your children.Assist you in making the best decisions for you and your family.Share information based on science and experience, without influence from formula or other commercial companies.Provide help from experienced staff and peer counselors.You will receive nutrition counseling focused on your needs and concerns. Need more information? Ask the local agency about the records you should bring. Medical Documentation Form (for WIC Formula and Approved WIC Foods) (PDF) – This form is completed by health care provider when a woman or child needs a special formula and/or can not eat all the foods WIC provides.It provides information WIC needs to certify a woman, infant or child for the program. WIC Medical Referral Form (PDF) – This form is completed by your health care provider.Any WIC Medical forms given to you by your health care provider such as:.Other Forms You May Need to Bring to Your Appointment.Arabic, Bengali, Burmese, Chinese, Farsi, French, Haitian Creole, Hindi, Italian ,.What to Bring to Your WIC Appointment (PDF).

Call the Growing Up Healthy Hotline to locate the WIC Local Agency nearest to you: 1-80.Įach person applying for WIC benefits must go to the local agency to apply and be present at the time of application.Find the local agency most convenient to you on our listing of local agencies providing WIC services.All Health Care Professionals & Patient SafetyĬall your local agency to make an appointment.Clinical Guidelines, Standards & Quality of Care.Health & Safety in the Home, Workplace & Outdoors.Birth, Death, Marriage & Divorce Records.
