• SKIP NAVIGATION

Get Adobe Reader

Douglas County Video Tour

A WIC participant with a medical condition that requires the use of specialty formula and/or when conventional foods are restricted medical documentation from their physician is federally required. Below are the links to the infant and child/women physician authorization forms.

 

Nebraska WIC Nutrition Program Physician Authorization Form Infants up to 12 months

Nebraska WIC Nutrition Program Physician Authorization Form Children 1-5 years and Women

 

Get Adobe Reader

Douglas County Video Tour