Smart Tip

The WIC program is run in collaboration with the Connecticut Department of Public Health.  For additional information on eligibility, rules and regulations, application information, and FAQs visit their website.  

Request an Appointment

Please tell us a bit about yourself and we will be in touch to set up an appointment.  

Please note: We cannot process emergency requests from this form. If you are having a medical emergency, please call 911.

When you submit this form, your information will be sent to the appropriate Middlesex Health staff, who will help you schedule an appointment or complete your request.

All fields are required unless otherwise noted.

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Have you ever been in the WIC program in Connecticut?
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Are you participating in other programs (SNAP, Cash Assistance, Husky A)?
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