Healthcare providers

WIC Formula and food authorization form (FAFAF)

Download the appropriate form below. Please fill out every section and give it to the WIC participant or send it to the WIC clinic. Click here to look up the fax number of the participant’s WIC clinic.

Infant (0-12 months) – FAFAF

Children at 12 months of age or older & women – FAFAF

WIC Referral data formĀ 

Download the referral form below. Please fill out the appropriate information and give it to the WIC participant or send it to the WIC clinic. Click here to look up the fax number of the participant’s WIC clinic.

WIC Referral data form

Breastfeeding health newsletter

Breastfeeding health newsletter – January 2024

WIC Clinic list with fax numbers

Clinic list by agency