Forms

Many of the forms you need to help speed up the New York WIC application process are right here. Click on any of the links below to open or download the form you need.

Don’t see what you are looking for? Let us know and we will be happy to help.

If you would like to authorize another person to represent you at times when you are unable to attend WIC appointments or redeem food instruments, fill this form out. You are allowed to have up to two person to represent you but this is not required.

If you are looking to receive checks for special formula, please fill out this form.

Please fill out this form to authorize the transfer of information between your healthcare provider and WIC for your children.

Please fill out this form to authorize the transfer of information between your healthcare provider and WIC for yourself.

Ithaca Festival Parade with WIC!

The Tompkins County WIC office will be taking part in the Ithaca Festival Parade on June 2nd and is looking for participants to march with us to support WIC and breastfeeding! Click on link to see attached poster for details.

Read More »

Clinic Closure

The clinic is open on Wednesday May 10th from 8:30am-12:30pm and will be closed for the remainder of the day. The clinic will reopen on Thursday May 11th at 8:00am.

Tip: Have fun with your Food!!

Use a heart-shaped cookie cutter to create fun shapes out of whole wheat bread. Top with berries or nut butter for added flavor.   Come up with more fun food ideas. Have fun with the kids and come with more activities!!

Read More »