Wood County, Wisconsin

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Application for the Wood County WIC Program

Wood County WIC Announcement: Due to COVID-19, we are doing all appointments over the phone. Our Marshfield/Pittsville office locations are closed, but our Wisconsin Rapids office remains open, at this time. If you have an upcoming appointment, please await a phone call. Please call with any questions/concerns. Follow us on Facebook for more clinic updates.

Participation in the WIC program is voluntary. Completion of this form is required to determine WIC eligibility and any personally identifiable information collected will be used for that purpose only.

Answer the following questions to the best of your knowledge. All information will be kept confidential.

Name, sex, and birth date for each of your children under age 5

Child 1
Child 2
Child 3
Child 4
Child 5

Submit Application