General Forms

  • To Apply/Reapply for WIC : Call or text 208-522-3823
  • Health Assessment Form
    Used by health care providers to share WIC participant anthropometric measurements and Lead/Hemoglobin results with WIC. Idaho Falls Fax: 208-533-3258.
  • WIC Medical Documentation Form
    To be completed by health care providers requesting therapeutic formula/nutritionals for WIC participants. Complete form and return to the WIC clinic for authorization.
    Idaho Falls Fax: 208-533-3258.
  • WIC Release of Information | Español
New WIC logo

How To Use Your New WIC Card

Como Usar Su Nueva Tarjeta De WIC

Non-Discrimination Statement

USDA is an equal opportunity provider. USDA es un proveedor que ofrece igualdad de oportunidades.