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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-00805 Prior Authorization Drug Attachment for Multiple Sclerosis (MS) Agents 07/2023 PDF English No
F-00805 Prior Authorization Drug Attachment for Multiple Sclerosis (MS) Agents 07/2023 Word English No
F-00805A Prior Authorization Drug Attachment for Multiple Sclerosis (MS) Agents, Instructions 07/2023 PDF English No
F-03175 Prior Authorization Drug Attachment for Multiple Sclerosis (MS) Agents, Interferons 07/2023 PDF English No
F-03175 Prior Authorization Drug Attachment for Multiple Sclerosis (MS) Agents, Interferons 07/2023 Word English No
F-03175A Prior Authorization Drug Attachment for Multiple Sclerosis (MS) Agents, Interferons Instructions 07/2023 PDF English No
F-02537 Prior Authorization Drug Attachment for Non-Preferred Stimulants, Related Agents - Wake Promoting 11/2019 PDF English No
F-02537 Prior Authorization Drug Attachment for Non-Preferred Stimulants, Related Agents - Wake Promoting 11/2019 Word English No
F-02537A Prior Authorization Drug Attachment for Non-Preferred Stimulants, Related Agents - Wake Promoting, Instructions 11/2019 PDF English No
F-02573 Prior Authorization Drug Attachment for Wakix 04/2021 PDF English No
F-02573 Prior Authorization Drug Attachment for Wakix 04/2021 Word English No
F-02573A Prior Authorization Drug Attachment for Wakix, Instructions 04/2021 PDF English No
F-01430 Prior Authorization Drug Attachment for Xyrem and Xywav 12/2021 PDF English No
F-01430 Prior Authorization Drug Attachment for Xyrem and Xywav 12/2021 Word English No
F-01430A Prior Authorization Drug Attachment for Xyrem and Xywav, Instructions 12/2021 PDF English No
F-01176 Prior Authorization Fax Cover Sheet 09/2022 Word English No
F-01176 Prior Authorization Fax Cover Sheet 09/2022 PDF English No
F-02815 Prior Authorization for Hospital Prolonged Stay 04/2022 Word English No
F-02815 Prior Authorization for Hospital Prolonged Stay 04/2022 PDF English No
F-02815A Prior Authorization for Hospital Prolonged Stay Fax Cover Sheet 01/2022 PDF English No
F-02815 Prior Authorization for Hospital Prolonged Stay Fax Cover Sheet 01/2022 Word English No
F-11016 Prior Authorization Physician Attachment (PA/PA) 07/2012 Word English No
F-11016 Prior Authorization Physician Attachment (PA/PA) 07/2012 PDF English No
F-11021 Prior Authorization Request / Hearing Instrument and Audiological Services 07/2012 PDF English No
F-11021A Prior Authorization Request / Hearing Instrument and Audiological Services (PA/HIAS2) Completion Instructions 11/2008 PDF English No

Glossary

 
Last revised August 16, 2024