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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
F-00701A Prior Authorization - Drug Attachment for Onabotulinumtoxin A (Botox®) to Treat Chronic Migraines Completion Instructions 08/2013 PDF English No
F-00694 Prior Authorization - Preferred Drug List (PA/PDL) for Cytokine and Cell Adhesion Molecule (CAM) Antagonist Drugs for Ulcerative Colitis 12/2013 PDF English No
F-11038 Prior Authorization / Adult Mental Health Day Treatment Attachment (PA/MHDTA) 07/2012 PDF English No
F-11038 Prior Authorization / Adult Mental Health Day Treatment Attachment (PA/MHDTA) 07/2012 Word English No
F-11038A Prior Authorization / Adult Mental Health Day Treatment Attachment (PA/MHDTA): Completion Instructions 07/2012 PDF English No
F-01629 Prior Authorization / Behavioral Treatment Attachment (PA/BTA) 12/2019 PDF English No
F-01629 Prior Authorization / Behavioral Treatment Attachment (PA/BTA) 12/2019 Word English No
F-01629A Prior Authorization / Behavioral Treatment Attachment (PA/BTA) Completion Instructions 12/2019 PDF English No
F-11011 Prior Authorization / Birth to 3 Attachment (PA/B3) 07/2012 Word English No
F-11011 Prior Authorization / Birth to 3 Attachment (PA/B3) 07/2012 PDF English No
F-11096 Prior Authorization / Care Plan Attachment (PA/CPA) 08/2015 Word English No
F-11096 Prior Authorization / Care Plan Attachment (PA/CPA) 08/2015 PDF English No
F-11096A Prior Authorization / Care Plan Attachment (PA/CPA): Completion Instructions 09/2015 PDF English No
F-11040 Prior Authorization / Child / Adolescent Day Treatment Attachment (PA/CADTA) 12/2019 PDF English No
F-11040 Prior Authorization / Child / Adolescent Day Treatment Attachment (PA/CADTA) 12/2019 Word English No
F-11040A Prior Authorization / Child / Adolescent Day Treatment Attachment (PA/CADTA) Instructions 12/2019 PDF English No
F-11029 Prior Authorization / Chiropractic Attachment (PA/CA) 07/2012 Word English No
F-11029 Prior Authorization / Chiropractic Attachment (PA/CA) 07/2012 PDF English No
F-11029A Prior Authorization / Chiropractic Attachment (PA/CA) Completion Instructions 10/2008 PDF English No
F-11010 Prior Authorization / Dental Attachment 1 (PA/DA1) Check Box Format 01/2019 PDF English No
F-11010 Prior Authorization / Dental Attachment 1 (PA/DA1) Check Box Format 01/2019 Word English No
F-11014 Prior Authorization / Dental Attachment 2 (PA/DA2) Oral Surgery, Orthodontic, and Fixed Prosthetic Services 02/2020 Word English No
F-11014 Prior Authorization / Dental Attachment 2 (PA/DA2) Oral Surgery, Orthodontic, and Fixed Prosthetic Services 02/2020 PDF English No
F-00239 Prior Authorization / Drug Attachment for Blood Glucose Meters and Test Strips 12/2013 Word English No
F-00239 Prior Authorization / Drug Attachment for Blood Glucose Meters and Test Strips 12/2013 PDF English No

Glossary

 
Last revised August 16, 2024