Index of Printable WIC Forms
- What To Bring To Your First Appointment (read first)
Nutrition Questionnaires - Please fill out the day before your WIC appointment
- Pregnancy Nutrition Questions (pdf) (if you are pregnant)
- Breastfeeding/Postpartum Woman Nutrition Questions (pdf) (for nursing mother or postpartum woman)
- Baby Nutrition Questions (Birth-5 months) (pdf) (for each infant from birth to age 5 months)
- Baby/Child Nutrition Questions (6-23 months) (pdf) (for each infant and child between 6 and 23 months)
- Child Nutrition Questions (2-4 years) (pdf) (for each child between the ages of 2 and 5)
Medical Referrals - Filled out by your health care provider. Please keep your appointment even if you do not have the forms filled out.
- WIC Referral for Pregnant Woman (pdf)
- WIC Referral for Postpartum / Breastfeeding Woman (pdf) (for nursing mother or postpartum woman)
- WIC Pediatric Referral (pdf) (for each child under 5, including infants)
Some documents on this Web Site are saved in Adobe Acrobat format. If you do not own a copy of Acrobat Reader, you may download it for free.