WIC: Electronic and Available to Order

 Forms, Publications, and Other Documents

Below is a list of all WIC (Special Supplemental Nutrition Program for Women, Infants, and Children) documents including electronic only and printed items available to order. Review the "Available to Order" column below to ensure availability in paper format. If the document is available to order in a paper version, there will be a "Yes" with a link to ordering instructions.

When you are searching for a document, enter the number or a portion of the title in the search box below. To narrow your search results even more, place quotation marks " " around search terms. For example: "Breastfeeding Peer Counselors"

Ordering instructions for local WIC agencies only:

  • Download and fill out the Forms/Publications Order, F-80025A. Order only as many as you will use in three to six months. For most items you should order in quantities of at least 50.
  • Email the completed order form to the WIC forms processor at dhsfmdphwic@dhs.wisconsin.gov. You will receive a confirmation email once your order has been processed.
Assigned Number Title Sort descending Release Date File Type Language Available to Order
N/A Pharmacy Newscapsule, 2023, Quarter 2 02/2023 PDF English
N/A Pharmacy Newscapsule, 2023, Quarter 3 05/2023 PDF English
N/A Pharmacy Newscapsule, 2023, Quarter 4 09/2023 PDF English
N/A Pharmacy Newscapsule, 2024, Quarter 1 03/2024 PDF English
N/A Pharmacy Newscapsule, 2024, Quarter 3 07/2024 PDF English
F-00841 Pharmacy Services Lock-In Program - HMO Referral for Pharmacy Services Lock-In of HMO Member 03/2023 Word English
F-00841 Pharmacy Services Lock-In Program - HMO Referral for Pharmacy Services Lock-In of HMO Member 03/2023 PDF English
F-00840 Pharmacy Services Lock-In Program - HMO Responsibilities for Member Referral to Pharmacy Services Lock-In Program 03/2023 PDF English
F-00840 Pharmacy Services Lock-In Program - HMO Responsibilities for Member Referral to Pharmacy Services Lock-In Program 03/2023 Word English
F-00842 Pharmacy Services Lock-In Program - Program Summary 07/2013 PDF English
F-11183 Pharmacy Services Lock-In Program / Designation of Alternate Prescriber for Restricted Medications Services 03/2023 PDF English
F-11183 Pharmacy Services Lock-In Program / Designation of Alternate Prescriber for Restricted Medications Services 03/2023 Word English
F-00345 Pharmacy Services Lock-In Program HMO Designation of Prescriber for Restricted Medication Services 03/2023 PDF English
F-00345 Pharmacy Services Lock-In Program HMO Designation of Prescriber for Restricted Medication Services 03/2023 Word English
F-00250 Pharmacy Services Lock-In Program Request for Review of Member Prescription Drug Use 03/2023 Word English
F-00250 Pharmacy Services Lock-In Program Request for Review of Member Prescription Drug Use 03/2023 PDF English
F-13074 Pharmacy Special Handling Request 04/2014 Word English
F-13074 Pharmacy Special Handling Request 04/2014 PDF English
F-13074A Pharmacy Special Handling Request: Completion Instructions 07/2012 PDF English
P-01673 Pharmacy Terms of Reimbursement 02/2023 PDF English
N/A Phase II of State Systemic Improvement Plan Wisconsin 01/2023 PDF English
N/A PHC Wisconsin Public Health Statement Regarding Vaccination and Measles 2019 12/2020 PDF English
N/A PHHS Block Grant for Local and Tribal Health Departments - Fiscal Year 2023 06/2023 PDF English
N/A PHHS Block Grant Local and Tribal Health Department Pre-Negotiation Survey - FY24 06/2024 PDF English
N/A PHHS Block Grant Local and Tribal Health Departments Work Plan Options 06/2024 PDF English

Glossary

 
Last revised August 16, 2024