WIC is a federally-funded health and nutrition program for women, infants, and children. WIC provides nutrition education, breastfeeding support and supplemental food all for free!
WIC strengthens families!
Need a friend or family member to help you with your appointments?
Fill out the Alternate Authorized Representative form and bring to your next appointment. This form allows someone else to participate in the WIC certification process and/or pick up WIC checks with your permission.
Need a prescription or referral form to take to your provider?
Print out this form and bring it to your provider. If you need a special formula, your provider must include:
the patients name and information
recent medical data
type of formula or adjustments to the food package
prescription length of time
qualifying medical condition
provider signature and information
If any information is missing, you may be told that the form is incomplete.