WIC Centers and Appointments

WIC Program Forms

Breastfeeding Support

Related Links

Nutrition & WIC Services Home

Clinical Health & Prevention Services Home

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Nutrition Services: WIC Program Forms

Following are links to a few helpful forms for HCPHES WIC applicants to use to prepare for their WIC appointments.  These forms can be used at any WIC Program in the State of Texas.

·        Income Questionnaire

• English

• Spanish

• Vietnamese

·         What to Bring to Your WIC Appointment

• English   

• Spanish

• Vietnamese

§         Non-Contract Formula Prescription Form

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