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It's a New Day in Public Health.

The Florida Department of Health works to protect, promote & improve the health of all people in Florida through integrated state, county, & community efforts.

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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 - 287 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

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

*Note: This page contains materials in the Portable Document Format (PDF). The free Adobe Reader may be required to view these files.