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WIC Application and Other Forms

To Apply/Reapply for WIC click here | Aplicar o Volver a Aplicar par WIC Aqui
Submit WIC Documents Here | Envíe Documentos de WIC Aquí
Health Assessment Form
Used by health care providers to share WIC participant anthropometric measurements and Lead/Hemoglobin results with WIC. Idaho Falls Fax: 208-533-3258.
WIC Medical Documentation Form
To be completed by health care providers requesting therapeutic formula/nutritionals for WIC participants. Complete form and return to the WIC clinic for authorization.
Idaho Falls Fax: 208-533-3258.