Physician Referral Forms
Download forms to refer your patients
Working with PTBi, we have created a one-sheet to address WIC and preventing preterm birth.
Need referral forms, brochures, or other materials for your office? Contact us!
WIC Foods Guide
WIC food packages for individuals
WIC authorized food list shopping guide
Why is Fresno EOC WIC different
Need paper forms? Our Outreach staff can deliver them to your office! Fill out the request below.
WIC - Referral Form Request
Healthy Pregnancies with WIC
Program benefits include more than food.
In addition to providing nutritious food, WIC provides services that enhance and safeguard the health of expectant mothers. WIC families have access to a number of valuable resources, including health screenings and education, immunization referrals, nutrition, and breastfeeding counseling and support, substance use information and referrals, and more. 1
Women who participate in WIC have improved birth outcomes 2
- Give birth to healthier babies who are more likely to survive infancy
- Closer to full-term, safer pregnancies, and have a better chance of having a fully developed baby
- Fewer premature births and infant deaths
- Fewer babies being born with very low birth-weights
- A greater likelihood of moms receiving prenatal care
WIC provides the following
- Nutrition education 1
- Monthly benefits of buying healthy food
- WIC participants buy and eat more fruits, vegetables, whole grains, and low-fat dairy products. 1
- Includes regular dairy products, lactose-free dairy products, and plant-based alternatives. Whole-grain tortillas, pasta, and more.
- Farmers Market vouchers for fresh produce direct from farmers.
- Larger food packages for moms who breastfeed exclusively.
- Higher averages in intake of iron, vitamin C, thiamin, niacin, and vitamin B6 1
- Lower iron deficiency anemia rates 1
- Health screenings
- WIC provides weight and anemia screening
Studies show that expectant moms enrolled in WIC had healthier babies and lower healthcare costs.
- Have a 20% reduction in preterm birth risk 4
- Are 40% more likely to initiate prenatal care within the first trimester 5
- Are 10% less likely to have babies admitted to intensive care nursery 5
- Save money by reducing the likelihood that the infant will be admitted to the intensive care nursery 5
- Who are African American have a reduced
risk of infant mortality
- Have increased birth weights 6
Social, Nutritional, & Breastfeeding Support
- Breastfeeding support with Lactation Counselors, and Breastfeeding Peer Counselors
- Help with breastfeeding issues
- Positioning, latching, milk production
- Returning to work
- Nursing aids such as breast pumps
- Nutrition support
- Nutrition Assistants
- Registered Dietitians
- Participants receive tips on how to shop and cook healthy food and how to encourage kids to eat it.
- Network of peers and experts
- Healthcare & other professional referrals
- Other doctors for those without a dedicated provider
- Social Services
- Immunizations – Low-income children participating in WIC are just as likely to be immunized as more affluent children and are more likely to
receive preventative medical care than other
children not participating in WIC 2
1. USDA. (n.d.). WIC Benefits and Services.
2. USDA. (n.d.). About WIC- How WIC Helps.
3a, 3b Center on Budget and Policy Priorities. (2017, October 11). WIC Works: Addressing the Nutrition and Health Needs of Low-Income Families for 40 Years.
4. Baer, R. J., Lessard, L., Jankowska, M., Anderson, J. G.,
Block, J., Chambers, C. D., … Jelliffe-Pawlowski, L. L. (2018). Comparison of risk and protective factors for preterm birth in rural, suburban, and urban Fresno County, California. Journal of Epidemiological Research, 4(2), 50.
5 a b c. Bitler, M. P., & Currie, J. (2009). Does WIC Work? The Effects of WIC on Pregnancy and Birth Outcomes. Social Experimentation, Program Evaluation, and Public Policy, 332-349. doi:10.1002/9781444307399.ch20
6 a b. Figlio, D., Hamersma, S., & Roth, J. (2009). Does
prenatal WIC participation improve birth outcomes? New
evidence from Florida. Journal of Public Economics, 93(1-2), 235-245. doi:10.1016/j.jpubeco.2008.08.003
Your WIC Foods – packages for individual categories
|# Of people in Family**||Annual||Monthly||Twice Monthly||Bi-Weekly||Weekly|
|Each add'l family member add||$9,509 per added|
|$793 per added|
|$397 per added|
|$366 per added|
|$183 per added
*Effective April 1, 2023 – June 30, 2024
**Unborn children should be counted in family total. Example: Pregnant woman with a single unborn child should be counted as two (2) in family unit. Pregnant woman with two unborn children (twins) should be counted as three (3).
- What do I need on my first visit?
The person you are enrolling and proof of identification are the only requirements for the first appointment. Proof of income and address will be required to continue to receive benefits.
WIC is a non-reporting program. Proof of citizenship is not required. Migrant workers are welcome to apply.