Health Care Providers
Contact the Florida WIC Program
- 1-800-342-3556
-
Fax
850-922-3936 -
Mailing Address
Bureau of WIC Program Services
4052 Bald Cypress Way, Bin A16
Tallahassee FL 32399
WIC Forms
Contact your local WIC office for WIC forms and other materials. Click here for a local phone number or call 1-800-342-3556 and the operator will provide you with the local phone number
Medical Documentation for Formula and Food Form - 214 KB PDF
Medical Referral Form - 95 KB PDF
Medicaid Authorization Form - 51 KB PDF
Prenatal Weight Gain Grid for Singleton Pregnancy - 151 KB PDF
Prenatal Weight Gain Grid for Multifetal Pregnancy - 174 KB PDF
Program Information
Who is eligible for WIC and How to Apply
WIC Income Criteria - 99 KB PDF
WIC Facts - 698 KB PDF
Contract Infant Formulas (887 KB PDF)
Breastfeeding Facts and Research (on page 6) - 1.36 MB PDF
Refer your clients to WIC booklet - 1.36 MB PDF
Outreach Materials
WIC Outreach Pamphlet
English - 3.13 MB PDF
Spanish - 2.88 MB PDF
Haitian Creole - 3.05 MB PDF
Are You Pregnant? Flyer - 502 KB PDF
WIC Outreach Poster - 103 KB PDF
Health Care Provider Information
Health Care Providers - WIC Food Packages: What you should know
Health Care Providers - WIC Food Packages: What you should know ADA Compliant Version - 2.49 MB PDF
