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Northern Nevada Public Health

WIC Interest Form

Thank you for your interest in the Northern Nevada Public Health- WIC program. 

WIC serves pregnant, breastfeeding, and postpartum women and children up to five years of age.

Please complete this interest form to request a WIC eligibility appointment. 

Are you Pregnant or do you have children under the age of 5 years?

Do you know your due date?

What is the best way to contact you?

What is your mailing address?

What is your preferred location for the appointment?

I understand that an employee from Northern Nevada Public Health- WIC program will contact me to determine eligibility.