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.