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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 Release Date File Type Language Available to Order
P-01678 Prenatal Care Coordination Agency Terms of Reimbursement 10/2021 PDF English No
P-01046 Prenatal Care Coordination Brochure 06/2022 PDF English Yes
P-01046H Prenatal Care Coordination Brochure, Hmong 06/2022 PDF Hmong No
P-01046S Prenatal Care Coordination Brochure, Spanish 06/2022 PDF Spanish No
F-03185 Prenatal Care Coordination Care Coordinator Visit Checklist 06/2023 PDF English No
F-03185 Prenatal Care Coordination Care Coordinator Visit Checklist 06/2023 Word English No
F-03183 Prenatal Care Coordination Care Plan 06/2023 PDF English No
F-03183 Prenatal Care Coordination Care Plan 06/2023 Word English No
F-03183A Prenatal Care Coordination Care Plan, Instructions 06/2023 PDF English No
F-03186 Prenatal Care Coordination Monthly Time Log for Ongoing Care Coordination and Monitoring 12/2023 Word English No
F-03186 Prenatal Care Coordination Monthly Time Log for Ongoing Care Coordination and Monitoring 12/2023 PDF English No
F-03186A Prenatal Care Coordination Monthly Time Log for Ongoing Care Coordination and Monitoring, Instructions 12/2023 PDF English No
F-03188 Prenatal Care Coordination Plan of Operation 06/2023 PDF English No
F-03188 Prenatal Care Coordination Plan of Operation 06/2023 Word English No
F-02774 Prenatal Care Coordination Postpartum Assessment Tool 05/2021 Word English No
F-01105 Prenatal Care Coordination Pregnancy Questionnaire 07/2024 PDF English No
F-01105 Prenatal Care Coordination Pregnancy Questionnaire 07/2024 Word English No
F-01105A Prenatal Care Coordination Pregnancy Questionnaire Instructions 07/2024 PDF English No
F-01105AH Prenatal Care Coordination Pregnancy Questionnaire Instructions, Hmong 07/2024 PDF Hmong No
F-01105AS Prenatal Care Coordination Pregnancy Questionnaire Instructions, Spanish 07/2024 PDF Spanish No
F-01105H Prenatal Care Coordination Pregnancy Questionnaire, Hmong 07/2024 PDF Hmong No
F-01105H Prenatal Care Coordination Pregnancy Questionnaire, Hmong 07/2024 Word English No
F-01105S Prenatal Care Coordination Pregnancy Questionnaire, Spanish 07/2024 PDF Spanish No
F-01105S Prenatal Care Coordination Pregnancy Questionnaire, Spanish 07/2024 Word English No
F-03187 Prenatal Care Coordination Referral 12/2023 PDF English No

Glossary

 
Last revised August 16, 2024