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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-11032 Prior Authorization / Substance Abuse Attachment (PA/SAA) 07/2012 Word English No
F-11032A Prior Authorization / Substance Abuse Attachment (PA/SAA) Completion Instructions 10/2008 PDF English No
F-11037 Prior Authorization / Substance Abuse Day Treatment Attachment (PA/SADTA) 07/2012 PDF English No
F-11037 Prior Authorization / Substance Abuse Day Treatment Attachment (PA/SADTA) 07/2012 Word English No
F-11037A Prior Authorization / Substance Abuse Day Treatment Attachment (PA/SADTA): Completion Instructions 07/2012 PDF English No
F-11008 Prior Authorization / Therapy Attachment (PA/TA) 07/2024 PDF English No
F-11008 Prior Authorization / Therapy Attachment (PA/TA) 07/2024 Word English No
F-11051 Prior Authorization / Vision Services Attachment (PA/VA) 10/2020 PDF English No
F-11051 Prior Authorization / Vision Services Attachment (PA/VA) 10/2020 Word English No
F-11051A Prior Authorization / Vision Services Attachment (PA/VA), Instructions 10/2020 PDF English No
F-11042 Prior Authorization Amendment Request 07/2012 Word English No
F-11042 Prior Authorization Amendment Request 07/2012 PDF English No
F-11042A Prior Authorization Amendment Request Completion Instructions 07/2012 PDF English No
F-11035 Prior Authorization Dental Request Form (PA/DRF) 06/2024 PDF English No
F-11035 Prior Authorization Dental Request Form (PA/DRF) 06/2024 Word English No
F-11035A Prior Authorization Dental Request Form (PA/DRF) Instructions 06/2024 PDF English No
F-00163 Prior Authorization Drug Attachment for Anti-Obesity Drugs 07/2024 Word English No
F-00163 Prior Authorization Drug Attachment for Anti-Obesity Drugs 07/2024 PDF English No
F-00163A Prior Authorization Drug Attachment for Anti-Obesity Drugs Instructions 07/2024 PDF English No
F-00194 Prior Authorization Drug Attachment for Antiemetics, Cannabinoids 07/2021 PDF English No
F-00194 Prior Authorization Drug Attachment for Antiemetics, Cannabinoids 07/2021 Word English No
F-00194A Prior Authorization Drug Attachment for Antiemetics, Cannabinoids, Instructions 07/2021 PDF English No
F-00556 Prior Authorization Drug Attachment for Antipsychotic Drugs for Children 8 Years of Age and Younger 01/2018 PDF English No
F-00556 Prior Authorization Drug Attachment for Antipsychotic Drugs for Children 8 Years of Age and Younger 01/2018 Word English No
F-00556A Prior Authorization Drug Attachment for Antipsychotic Drugs for Children 8 Years of Age and Younger Instructions 01/2018 PDF English No

Glossary

 
Last revised August 16, 2024