WIC Client Portal

Utah WIC Appointment Request

Welcome

Welcome to our WIC appointment request portal!

As a new or existing WIC client, you can enter your zip code to select your preferred WIC clinic within your local health department. Please complete all information as you move through the portal . All information entered into this system is kept secure and can be accessed only by authorized WIC staff. We look forward to seeing you at WIC!

Select your preferred WIC Clinic:

Your Zip Code^*

^* Required field.

Add a Child

First Name:^*

Last Name:^*

Date of Birth:^*

Estimated Due Date (Infants only):

Gender^*

Male

Female

Race:^*

Ethnicity:^*

^* Required field.

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