North Carolina WIC Families - Referral Form

Submitted by bbsaelim on Wed, 07/06/2022 - 08:26

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WIC is the Special Supplemental Nutrition Program for Women, Infants, and Children funded by the United States Department of Agriculture. It is commonly referred to as the WIC Program. County health departments, community and rural health centers, and community action agencies provide WIC Program services. WIC provides nutrition education, breastfeeding support, healthy food, health referrals and other services free of charge to North Carolina families who qualify. The WIC Program promotes healthy habits and healthy families to pregnant, breastfeeding and postpartum women, infants and children until age 5.

After filling out and submitting this form, a WIC clinic near you will contact you within 20 days though typical response time is much sooner.

Are you a member of the Eastern Band of Cherokee Indians and prefer to receive WIC services through the EBCI WIC Program?

First Name

Last Name

Phone Number

County of Residence or Preferred WIC Agency