WIC Enrollment Form
Please submit the following form to begin the enrollment process for WIC. Once submitted, a Flathead City-County Health Department WIC staff member will reach out to you.
Please enter a valid phone number.
Please check any of the following that apply to you:
I am pregnant
I am breastfeeding
I recently gave birth (postpartum)
I have an infant (or infants)
I have a child (or children) 5 years old or younger
Should be Empty: