Health Care Providers

WIC Formula and Food Authorization Form (FAFAF)

Download the appropriate form below. Please fill out completely and give to the WIC client. You may also fax the form directly to the WIC clinic. Click here to look up the fax number of the client’s WIC clinic.

Infants (0-12 months) – FAFAF

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

WIC Referral Data Form 

Download the referral form below. Please fill out the appropriate referral data and give to the WIC client. You may also fax the form directly to the WIC clinic. Click here to look up the fax number of the client’s WIC clinic.

WIC Referral Data Form

Breastfeeding Health Newsletter

Breastfeeding Health Newsletter July 2023Breastfeeding Health Newsletter January 2023

WIC Clinic List with FAX Numbers

Clinic List by Agency with Fax#