Downloadable WIC Forms
To print a form, click on it and select 'Print' from the 'File' menu.
Instructions: Print all appropriate forms and send to:
Warren County WIC
1340 State Route 9
Lake George, NY 12845
You can also bring completed copies of the forms with you to your appointment.
If you have any questions, please call us at (518) 761-6425.
Evening and lunch time appointments are available for working families.
Women
Woman, Infant, or Child
Medical Documentation for WIC Foods/Formula
WIC Proxy Authorization Form (What is a proxy?)
WIC Medical Referral Form for Infants and Children
WIC Approved Formulas
WIC Acceptable Food Card
