About WIC

WIC LogoThe WIC Program provides services to pregnant women, new mothers, infants, and children up to five years of age who are at nutritional risk. Services are based on medical and income eligibility. The primary services provided are:

  • Health screening and risk assessment
  • Nutrition education and counseling
  • Breastfeeding promotion and support.  Check out our Breastfeeding Support page on FACEBOOK!
  • Referrals to services specific to individual needs, such as health care providers and social services agencies
  • Monthly instruments for nutritional, supplemental foods
  • *Link for WIC food substitutions during CoVid-19*:

Please visit the State of Missouri WIC website for information on income eligibility guidelines.

Forms and Documents

If you are an existing or prospective WIC client, save yourself time by printing and completing the appropriate forms and diet sheets below before visiting our office:

WIC Medicaid Release Form 

Nutrition Assessment for Women
Nutrition Assessment for Infants
Nutrition Assessment for Children Ages 1-5

Evaluación de Nutrición Para Mujeres
Evaluación de Nutrición Para Bebes
Evaluación de Nutrición Para Niños de 1-5 Años

If your child has a medical condition that requires the use of special formula and conventional foods are precluded, restricted, and inadequate to meet his or her special nutritional needs, please ask your Medical Provider to complete the following form:

Medical Documentation - Health Care Provider Authorization

Nondiscrimination Statement

In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating on the basis of race, color, national origin, sex (including gender identity and sexual orientation), disability, age, or reprisal or retaliation for prior civil rights activity.

Program information may be made available in languages other than English. Persons with disabilities who require alternative means of communication to obtain program information (e.g., Braille, large print, audiotape, American Sign Language), should contact the responsible state or local agency that administers the program or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339.

To file a program discrimination complaint, a Complainant should complete a Form AD-3027, USDA Program Discrimination Complaint Form which can be obtained online at:, from any USDA office, by calling (866) 632-9992, or by writing a letter addressed to USDA. The letter must contain the complainant’s name, address, telephone number, and a written description of the alleged discriminatory action in sufficient detail to inform the Assistant Secretary for Civil Rights (ASCR) about the nature and date of an alleged civil rights violation. The completed AD-3027 form or letter must be submitted to USDA by:

  1. mail:
    U.S. Department of Agriculture
    Office of the Assistant Secretary for Civil Rights
    1400 Independence Avenue, SW
    Washington, D.C. 20250-9410; or
  2. fax:
    (833) 256-1665 or (202) 690-7442; or
  3. email:
    [email protected]

This institution is an equal opportunity provider.