Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Breastfeeding Virtual Events

  1. Breastfeeding 101 (Virtual Class)

    This breastfeeding class will help pregnant WIC clients learn the basics of what breastfeeding is, why it is so important and... More…

Contact Us

  1. Contact Us

    Please complete the form below and a staff member will respond to your question or request as quickly as possible. Please allow more... More…

Immunization Record Requests

  1. Immunization Records Request

    To request a copy of an immunization record, please fill out the following information. Questions? Call 816-595-4322.