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Medical Documentation Form for Medical Formula/Food
WIC PARTICIPANT RIGHTS, RESPONSIBILITIES AND CONSENT
Letter of Ineligibility for WIC Participation in Idaho
No Proof and Temporary (Income) Certification
WIC Rights & Responsibility Signature
DERECHOS, RESPONSIBILIDADES Y CONSENTIMIENTO DEL PARTICIPANTE EN WIC (Spanish)

WIC is an equal opportunity provider. For the full nondiscrimination statement and information to file a complaint, click here.

Public Health - Idaho North Central District
215 10th Street
Lewiston, ID 83501

Phone: (208) 799-3100
Fax: (208) 799-0349
Idaho Careline: 211

EPI ISSUES: 1-800-632-8000
For medical emergencies dial: 911.

Disclaimer

All information is general in nature and is not intended to be used as a substitute for appropriate professional advice.

For more information please call (208) 799-3100 or Idaho Careline: 211.

WIC Forms

WIC Forms are PDF Format

WIC is an equal opportunity provider. For the full nondiscrimination statement and information to file a complaint, click here.

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Idaho Public Health