Healthcare providers
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WIC Formula and Food Authorization Form (FAFAF)

Download the appropriate form below. Please fill out completely and give to the WIC participant. You may also fax the form directly to the WIC clinic. Click here for WIC clinic fax numbers.

Infants 0 to 11 months-of-age FAFAF

Children 1 to 5 years-of-age and women FAFAF

WIC Referral data formĀ 

Download the referral form below. Please fill out the appropriate referral data and give to the WIC participant. You may also fax the form directly to the WIC clinic. Click here for WIC clinic fax numbers.

WIC Referral data form

Breastfeeding health newsletter

Breastfeeding Health Newsletter July 2024Breastfeeding Health Newsletter January 2024

WIC clinic list with fax numbers

Clinic List by Agency with Fax#