The WIC Program provides services to pregnant women, new mothers, infants, and children up to five years of age who are at nutritional risk. Services are based on medical and income eligibility. The primary services provided are:

• Health screening and risk assessment,

• Nutrition education and counseling,

• Breastfeeding promotion and support,

• Referrals to services specific to individual needs, such as health care providers and social services agencies, and

• Monthly instruments for nutritional, supplemental foods.

Please visit the State of Missouri WIC website for information on income eligibility guidelines.

Forms and Documents

If you are an existing or prospective WIC client, save yourself time by printing and completing the appropriate forms and diet sheets below before visiting our office:

WIC Medicaid Form

Nutrition Assessment for Women
Nutrition Assessment for Infants
Nutrition Assessment for Children Ages 1-5

Evaluación Sobre La Nutrición Para Mujeres
Evaluación Sobre La Nutrición Para Bebes
Evaluación Sobre La Nutrición Para Niños de 1-5 Años

If your child has a medical condition that requires the use of special formula and conventional foods are precluded, restricted, and inadequate to meet his or her special nutritional needs, please ask your Medical Provider to complete the following form:

Medical Documentation - Health Care Provider Authorization

This institution is an equal opportunity provider.