Food/ Medical/ Financial Assistance you may also qualify for:

• SNAP - Supplemental food assistance for low income families
• LEAP (Low Income Energy Assistance) - Provides financial assistance to help low income households with winter home heating costs
• TANF - Cash/ employment assistance to qualifying low income families
• CCAP (Child Care Assistance Program) - Offers financial assistance to subsidize child care cost for low income families
• Medicaid - Health care benefits for minor children (1-18 years old), parents, and pregnant women who qualify
• Colorado PEAK - Program eligibility and application kit to access benefit information

Visit Larimer County’s human services website to learn more.

Nutrition Related Resources

• State of Colorado WIC Programs
• CSU Extension

Breastfeeding Resources

• Northern Colorado Breastfeeding Coalition
• Colorado Department of Public Health and Environment
• Colorado Department of Labor and Employment

Area Medical staff, please complete this form if a special formula is required.

Please Fax form to:
Loveland: 970-619-4589
Fort Collins: 970-498-6721

WIC is an equal opportunity provider and employer.