Colorado WIC Families - Referral Form

The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) provides healthy food, nutrition education, breastfeeding guidance, and community support for women who are pregnant or postpartum, infants, and children under five years old.

After this form is submitted, a WIC staff person should contact you within 10 calendar days. If you need to connect with WIC sooner, please contact a clinic near you. For clinic locations, visit https://www.coloradowic.gov/find-wic-clinic.

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