WIC & Health Care Providers
- Medical Formula
- Medical Formula Documentation Form (PDF)
Exempt Infant Formula, Medical Foods, Contract Formula for Children ≥1 year.
Contact UsAs a healthcare provider, you are a key partner in assisting WIC participants make healthy choices. Here you'll find information about breastfeeding promotion, the WIC food package, medical formula documentation forms, WIC data and other resources.
We value your partnership and look forward to working with you! Please let us know how we can be helpful.
Phone: 800-657-3942 / 651-201-4404 or Contact Us using the Questions and Feedback form via the website.
Minnesota WIC Referral Form
Please complete this online form to refer your patients to the Minnesota WIC Program. This form may also be used to provide medical data to the WIC Program for current participants.
Minnesota WIC Medical Data Form (WORD)
Health Care Providers can use this form to provide medical data to the WIC Program.
WIC Services during COVID
- Memo to Health Care Providers encouraging sharing of height/weight/hemoglobin measurements with WIC clinics.
- Minnesota WIC Services during COVID-19 (WORD)
- Minnesota WIC Services during COVID-19 (PDF)
- Food Package Pictorials
- Fully Breastfeeding (PDF)
- Mostly Breastfeeding (PDF)
- Some or No Breastfeeding (PDF)
- Pregnant Women (PDF)
Reports and Data
Minnesota WIC Facts and WIC services maps & charts.
Annual reports, fact sheets/information and maps about breastfeeding initiation and duration.
Annual reports, fact sheets/information and maps on obesity and overweight status in MN WIC children aged 2-5 and women
Obesity: Facts and Figures
Data on obesity in Minnesota adults
- WIC Data Summary Reports
- Minnesota Public Health Data Access Portal
Interactive maps, charts, and queries with data on multiple health and environment topics.
- Minnesota County Health Tables
A compilation of public health data for Minnesota and its 87 counties. WIC data are found under the Morbidity section in 2011 and later. In 2010 and prior years, WIC data are found in Demographics.