Women, Infants & Children (WIC) logo

Women, Infants & Children (WIC)

The Wyoming WIC Program offers benefits to low-income women who are pregnant, breastfeeding, or who just had a baby, and families with children under the age of 5. Nutritious food items, as well as many other benefits, are available for many Wyoming families through WIC.

Contact Info:

122 West 25th Street, 3rd Floor West
Cheyenne, WY 82002
Main: 307-777-7494
Toll Free: 1-888-996-9378
Fax: 307-777-5643
https://www.facebook.com/WyomingWICProgram/

Medical Documentation

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WIC Offers a Variety of Specialty Formulas and Medical Foods

These products need approval from a medical provider before WIC can give them to you.

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Physician Authorization Form

A healthcare professional licensed to write medical prescriptions is required to provide the following medical documentation:

  • Medical determination of a qualifying condition;
  • Name of the prescribed WIC formula or nutritional;
  • Quantity needed per day of prescribed WIC formula or nutritional;
  • Length of time the WIC formula or nutritional is prescribed to the participant;
  • Indication of supplemental food restrictions or contraindications; and
  • Signature of healthcare professional, date, and contact information.