When you participate in WIC, staff will ask you for some information. Some forms are required to participate. WIC staff will let you know if you need to fill out any of these forms.
Do you want to do your WIC appointment from home instead of coming into Adelante Healthcare?
Please contact us at 1.877.809.5092 for more information.
WIC Rights and Responsibilities
WIC Rights and Responsibilities Spanish
Statement of Documentation Spanish
Change of Authorized Rep Spanish
Language Access Waiver Spanish
Notice of Ineligibility Spanish
AZ Referral & physical presence Exemption Form
Note: All Forms require the free version of Adobe Reader for viewing and printing. Download a free copy of Adobe Reader here.
Click here to view forms in more languages.
COVID-19 Update: WIC is open for business. Adelante Healthcare WIC is currently doing over the phone appointments until January 20, 2021.
Adelante Buckeye
Open Mon-Fri 8am to 6pm
Closed for lunch 12pm-1pm
Adelante Healthcare Central Phoenix
Virtual and remote services available.
Adelante Gila Bend
Open Wed 8am to 4:30pm
Closed for lunch 12pm-12:30pm
Adelante Goodyear
Open Mon – Fri 8am to 5pm
Walk-in Hours 8am-11am & 1pm-4pm
Closed for lunch 12pm-1pm
Adelante Mesa
Open Mon – Fri 8am to 5pm
Closed for lunch 12pm-1pm
Adelante Peoria
Open Mon, Tues, Thurs 8am to 5pm (By Appointment)
Friday (Walk-Ins) 8am to 5pm
Closed for lunch 12PM to 1PM
Adelante West Phx
Open Mon-Fri 8am to 6pm
Sat 8am to 5pm (By Appointment)
Closed for lunch 12PM to 1PM
Adelante Surprise
Open M-F 8am to 6pm
Appointments Tues, Wed, Thurs and 2nd Sat of the month.
Adelante Wickenburg
Open Tues & Thurs 8am to 5pm
Closed for lunch 12-1pm
Luke Air Force Base WIC
7282 N. 137 Ave., Bldg. 1140
Glendale, AZ 85142
Ph: 1-877-809-5092
Fx: 623-583-3007
Military Pass Required
Open Mon & Wed 8am to 5pm
Closed for lunch 12-1pm
West Valley WIC
328 W. Western Ave.
Avondale, AZ 85323
Ph: 1-877-809-5092
Fx: 623-333-0271
Open Mon-Th 8am to 5:30pm | Fri 9am to 5pm
Closed for lunch 12pm-1pm
Please call to schedule your appointment
Peoria (South) Mobile WIC
8335 W. Jefferson St.
Peoria, AZ 85345
Ph: 623-236-4622
Open Tues & Wed 8am to 5pm by appointment
Closed for lunch 12-1pm
Please call to schedule your appointment
This health center receives HHS funding and has Federal PHS deemed status with respect to certain health or health-related claims, including medical malpractice claims, for itself and its covered individuals.
Adelante Healthcare is an equal opportunity employer committed to inclusion and diversity. We take affirmative action to ensure equal opportunity for all applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status or other legally protected characteristics.