wic

Some forms you MAY need for your WIC appointment:

WIC Proxy or Authorization Form: (A Proxy Form lets someone else fill in for you at a WIC appointment or pick up WIC food with your permission)

Medical Documentation Form: (If your baby needs a special formula or cannot eat all the foods WIC provides.)

Coming from another WIC program?
Verification of Certification (VOC) Request form helps to transfer your information from (and to) another WIC program.

Additional Forms:

WIC Medical Referral Form for Women:
(You’ll need this form filled out by your health care provider)

WIC Medical Referral Form for Infants and Children: (You’ll need this form filled out by your health care provider)