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Forms

Caretaker Form

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

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:

WIC's allowance of alternative formula purchases is ending February 28, 2023 and will not have any more extensions.  As of March 1, 2023 Similac will be the only allowable formula brand.

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