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Oregon Health Authority

Clinic forms

All files on this page are Adobe Reader PDF format unless otherwise noted.

Materials available on this page:

Looking for review tools? These are now located on the WIC Coordinator page.

Looking for breast pump forms? These are now located on the Breastfeeding Resources page.

Participant notification forms

Participant signature form (57-629)

  • Large print available online only: Participant Signature (front): English
  • Large print available online only: Participant Signature back (Voter Registration): English

Rights and responsibilities (57-630)

  • Large print available online only: English

Documenting proofs

  • Large print no proof form available online only: English

What proof to bring to WIC (57-632)

Medical documentation and formula warehouse

National Voter Registration Act

Assessment forms

All assessment forms available only online or in TWIST

Growth charts and weight gain grids

Growth charts are available online or in TWIST only

Farm Direct Nutrition Program forms

Miscellaneous

Shopper education materials for participants


Shopping with your eWIC card (57-1002)


Using your Oregon eWIC card (57-1008)