Healthcare Providers

Help your patients receive WIC benefits

You play a vital role in helping Wisconsin families find needed WIC services and support. Here are ways you can help your patients learn more:

• Tell your patients about the WIC program. Display WIC outreach brochures in your office and include in new patient materials.
• Refer your patients to the Wisconsin WIC program. Use section 1 of the Wisconsin WIC Referral/Request for Medical Formula/Food (infant/child, F-44024d (Word) or pregnant/breastfeeding/postpartum, F-44024a (Word)).
• Send height, weight, and hemoglobin measurements to their WIC office. This allows WIC participants to receive remote services. Use section 1 of the Wisconsin WIC Referral/Request for Medical Formula/Food (infant/child, F-44024d (Word) or pregnant/breastfeeding/postpartum, F-44024a (Word)).
• Share with colleagues and train new staff. Share how WIC is Helping You Work Wonders, P-02008 (PDF).

 

Request a medical formula or food

Find information on which formulas and nutritionals are WIC approved, WIC’s maximum monthly amounts, and more.

WIC requires documentation of a qualifying medical condition(s) to provide medical formula and food.

• Review the Wisconsin WIC Formulary, P-40077 (PDF)
• Complete the Wisconsin WIC Request for Medical Formula/Food for an infant or child, or for a pregnant, breastfeeding, or postpartum person.

• Wisconsin WIC Referral/Request for Medical Formula/Food: Infants and Children, F-44024d (Word)
• Wisconsin WIC Referral/Request for Medical Formula/Food: Women, F-44024a (Word)

• Send the form to your patient’s local WIC office.

Important WIC health care provider updates

• 6/30/2025 WIC Food Package Update (PDF)
• 10/16/2023 Remote Services and Lead Testing for Health Care Providers Serving WIC Participants (PDF)