In Surprise, Adelante Healthcare is committed to promoting healthy lifestyles through proper nutrition, which is why we proudly partner with the Women, Infants & Children (WIC) Program. This national program is crucial in helping pregnant individuals, breastfeeding parents, and children under five in Surprise access nutritious foods at no cost, supporting their health and well-being.
The WIC program is available nationwide, including here in Surprise, AZ, offering nutrition and health education, healthy foods, and other vital services at no charge to eligible families. You might be eligible for WIC if you:
WIC Income Eligibility Table By Family Size Effective April 1, 2023
Family Members in Household | Weekly Household Gross Income | Monthly Household Gross Income | Yearly Household Gross Income |
---|---|---|---|
2 | $702 | $3,041 | $36,482 |
3 | $885 | $3,833 | $45,991 |
4 | $1,068 | $4,625 | $55,500 |
5 | $1,251 | $5,418 | $65,009 |
6 | $1,434 | $6,210 | $74,518 |
Each Additional Member | $183 | $793 | $9,509 |
Apply to WIC today!
For help applying to WIC, or to make a follow-up appointment, click here.
Applying for WIC is easy. Simply submit the necessary documents to get started. Here is what you’ll need:
Flex care
Adelante Healthcare in Phoenix offers WIC program services when and where you need them, with a variety of access options to suit your needs and lifestyle. Same-day services are available at your closest Adelante Healthcare referral center in Phoenix or the surrounding communities. Our offices provide phone and virtual appointments, as needed.
Adelante Healthcare in Surprise facilitates easy access to WIC services, ensuring families receive the support they need to thrive. By participating in WIC, you can ensure that your family’s nutritional needs are met, laying a strong foundation for a healthy life.
If you live in Surprise or the surrounding areas and think you might qualify for WIC, or if you want to learn more about the benefits of this program, please contact Adelante Healthcare. We’re here to help you navigate the application process and make the most of the resources available to you and your family.
WIC forms
WIC Rights and Responsibilities
WIC Rights and Responsibilities Spanish
Voter Registration
Pump Loan Agreement
Statement of Documentation
Statement of Documentation Spanish
Change of Authorized Rep
Change of Authorized Rep Spanish
Language Access Waiver
Language Access Waiver Spanish
Notice of Ineligibility
Notice of Ineligibility Spanish
Proxy Certification
Proxy Certification Spanish
AZ Referral & physical presence Exemption Form
Please note that all forms require the free version of Adobe Reader for viewing and printing. Download a free copy of Adobe Reader.
Para todos los demás programas de asistencia de nutrición del FNS, agencias estatales o locales y sus subreceptores, deben publicar la siguiente Declaración de No Discriminación
In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating on the basis of race, color, national origin, sex (including gender identity and sexual orientation), disability, age, or reprisal or retaliation for prior civil rights activity.
Program information may be made available in languages other than English. Persons with disabilities who require alternative means of communication to obtain program information (e.g., Braille, large print, audiotape, American Sign Language), should contact the responsible state or local agency that administers the program or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at 480-964-2273.
To file a program discrimination complaint, a Complainant should complete a Form AD-3027, USDA Program Discrimination Complaint Form which can be obtained online at: https://www.usda.gov/sites/default/files/documents/USDA-OASCR%20P-Complaint-Form-0508-0002-508-11-28-17Fax2Mail.pdf, from any USDA office, by calling (866) 632-9992, or by writing a letter addressed to USDA. The letter must contain the complainant’s name, address, telephone number, and a written description of the alleged discriminatory action in sufficient detail to inform the Assistant Secretary for Civil Rights (ASCR) about the nature and date of an alleged civil rights violation. The completed AD-3027 form or letter must be submitted to USDA by:
This institution is an equal opportunity provider.