Download WIC Forms

WIC Publications and Downloads

Scroll down to view the WIC publications that are available for download.
To download or view a publication, click on the publication's title, or its pictoral representation.

You may also go to http://www.dhss.mo.gov/wic/publications.html and download publications.

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WIC Forms

Nutrition Assessment For Women - form number WIC 36
Also available in Spanish Español

Nutrition Assessment For Infants - form number WIC 37
Also available in Spanish Español

Nutrition Assessment For Children Ages 1-5 - form number WIC 35
Also available in Spanish Español

Medical Documentation Form For Special Formula - form number WIC 27
Available only in English

The WIC Program does not discriminate.
Click here for full discrimination statement

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Revised 30 Nov 2011