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Caretaker Form

Use this form to assign as secondary person to your file so we speak with them if you are unavailable.

Need to upload documents?  Submit them here

Upload picture file
Upload picture File
Upload picture File

For clients who have Husky insurance, doctors will now need to send formula prescriptions to the pharmacy, and also to WIC.  Please use the above prescription forms - they are the most updated version.

Apps and Online Shopping

ShopRite Shop from Home information

WICShopper Phone app information

Other Helpful Forms

Rights and Responsibilities:

Husky dental referral:

Further information for medical providers about formula: 

For tips to help you have a great shopping experience:

2021 WIC food guide:

eWIC card instructions: 

Meriden WIC Resource List:

We are now requiring in person appointments for children over 2 years old for whom we need height, weight, and hemoglobin data.

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