We’re here for you!

NW Pennsylvania WIC serves women and families in Crawford, Clarion, Forest, Mercer, Venango and Warren Counties. If you have a question about the program, eligibility or just need more information, simply fill out the form below and we’ll be in touch.

We’re here for you!

Forms & Information

Looking for forms and information? Below are some of the most commonly used forms that WIC participants in Pennsylvania may need to complete in order to receive services.

NOTE: Please download and save each form to your system before completing the required fields.

Formula Authorization Form

Pediatric Referral Form

Women’s Health Referral Form

WIC Family Portal Guide (pdf)
WIC Family Portal

Our locations

MEADVILLE:

747 Terrace Street, Meadville, PA 16335 | Ph: (814) 333-7080
747 Terrace Street, Meadville, PA 16335 | Ph: (814) 333-7080

Titusville Satellite Clinic:

417 N. Monroe Street, Titusville, PA 16354 | Ph: (814) 333-7080
417 N. Monroe Street, Titusville, PA 16354 | Ph: (814) 333-7080

SHARON:

585 E. State St., Suite #1, Sharon, PA 16146 | Ph: (814) 333-7080

Tionesta – (Tionesta Library) Satellite Clinic:

156 Elm St., Tionesta, PA 16353 | Ph: (814) 333-7080

CLARION:

535 Main Street, Clarion, PA 16214 | Ph: (814) 226-8130
535 Main Street, Clarion, PA 16214 | Ph: (814) 226-8130

WARREN:

42 Clark Street, Warren, PA 16365 | Ph: (814) 726-1093
42 Clark Street, Warren, PA 16365 | Ph: (814) 726-1093

FRANKLIN:

631 12th St., Franklin, PA 16323 | Ph: (814) 333-7080