North Carolina WIC Families - Referral Form

WIC is the Special Supplemental Nutrition Program for Women, Infants, and Children funded by the United States Department of Agriculture. It is commonly referred to as the WIC Program. County health departments, community and rural health centers, and community action agencies provide WIC Program services. WIC provides nutrition education, breastfeeding support, healthy food, health referrals and other services free of charge to North Carolina families who qualify. The WIC Program promotes healthy habits and healthy families to pregnant, breastfeeding and postpartum women, infants and children until age 5.

By filling out this form, a WIC clinic near you will contact you within 10-20 business days.

Back to: WIC Eligibility and Food Benefits | MyWIC

An asterisk * indicates the field is required.

 
 
 

The information submitted on this form is confidential. For help with this form email or phone Nan Pardington, 919-707-5782.

Nondiscrimination Statement / Aviso de No Discriminación

Last Modified: October 14, 2019