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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-00239A Prior Authorization / Drug Attachment for Blood Glucose Meters and Test Strips Completion Instructions 07/2015 PDF English No
F-11030 Prior Authorization / Durable Medical Equipment Attachment (PA/DMEA) 02/2024 Word English No
F-11030 Prior Authorization / Durable Medical Equipment Attachment (PA/DMEA) 02/2024 PDF English No
F-11030A Prior Authorization / Durable Medical Equipment Attachment (PA/DMEA) Instructions 02/2024 PDF English No
F-11088 Prior Authorization / Health and Behavior Intervention Attachment (PA/HBA) 07/2012 PDF English No
F-11088 Prior Authorization / Health and Behavior Intervention Attachment (PA/HBA) 07/2012 Word English No
F-11088A Prior Authorization / Health and Behavior Intervention Attachment (PA/HBA): Completion Instructions 07/2012 PDF English No
F-11044 Prior Authorization / Home Health Therapy / Attachment (PA/HHTA) 07/2012 Word English No
F-11044 Prior Authorization / Home Health Therapy / Attachment (PA/HHTA) 07/2012 PDF English No
F-11044A Prior Authorization / Home Health Therapy / Attachment (PA/HHTA): Completion Instructions 07/2012 PDF English No
F-11036 Prior Authorization / In-Home Treatment Attachment (PA / ITA) 12/2019 PDF English No
F-11036 Prior Authorization / In-Home Treatment Attachment (PA / ITA) 12/2019 Word English No
F-11036A Prior Authorization / In-Home Treatment Attachment (PA / ITA): Completion Instructions 12/2019 PDF English No
F-11033 Prior Authorization / Mental Health and/or Substance Abuse Evaluation Attachment (PA / EA) 07/2012 Word English No
F-11033 Prior Authorization / Mental Health and/or Substance Abuse Evaluation Attachment (PA / EA) 07/2012 PDF English No
F-11033A Prior Authorization / Mental Health and/or Substance Abuse Evaluation Attachment (PA / EA) Completion Instructions 10/2008 PDF English No
F-11066 Prior Authorization / Oxygen Attachment (PA/OA) 07/2012 PDF English No
F-11066 Prior Authorization / Oxygen Attachment (PA/OA) 07/2012 Word English No
F-11066A Prior Authorization / Oxygen Attachment (PA/OA): Completion Instructions 08/2015 PDF English No
F-11016A Prior Authorization / Physician Attachment (PA/PA) Completion Instructions 07/2012 PDF English No
F-11019 Prior Authorization / Physician Otological Report (PA/POR) 07/2012 PDF English No
F-11019 Prior Authorization / Physician Otological Report (PA/POR) 07/2012 Word English No
F-11019A Prior Authorization / Physician Otological Report (PA/POR) Completion Instructions 07/2012 PDF English No
F-11305 Prior Authorization / Preferred Drug List (PA/PDL) for Cytokine and Cell Adhesion Molecule (CAM) Antagonist Drugs for Crohn's Disease 01/2016 PDF English No
F-11305A Prior Authorization / Preferred Drug List (PA/PDL) for Cytokine and Cell Adhesion Molecule (CAM) Antagonist Drugs for Crohn's Disease: Completion Instructions 01/2016 PDF English No

Glossary

 
Last revised August 16, 2024