How to Refer

Quick Reference Sheets

How to Submit a WIC Referral

Step by Step with Screenshots in

Step 1

Go to and enter your patient’s zip code.

Step 2

Search “Women, Infants and Children” in the search bar

Click “Women, Infants, and Children (WIC) once it appears

Step 3

Find your patient’s preferred WIC location and select “APPLY HERE”

Step 4

Click “I’m referring someone else” fill out the boxes with your info.

Step 5

Fill out all of the fields with your patient’s information.

Step 6

Check the “Confirm Consent” box and click “NEXT”

Step 7

You will be taken to a new page to fill out all the info on the page.

Step 8

Upload any necessary medical documents.

Step 9

A summary page will appear, verify the info and click “Submit”