Program Forms & Materials

What you can find...

Ordering Materials	Assessment Questions
WIC Checks and Foods Information	Prenatal Weight Gain Grids
Hematology Supply Order Forms	Circle Charts
Outreach Materials	Printer Cartridge Ordering
Worksheets	Health Care Assistant Application
Certified Dietitian Application

Unless otherwise noted, all materials and forms on this page are in PDF format.

Ordering WIC Materials

Orders will be filled and shipped directly to you from the Department of Printing.

Use the instructions below to order from the Washington State Department of Printing's myFulfillment. Internet orders are shipped approximately 2-3 days after the order is placed.

Ordering Instructions

Go to the Department of Printing’s website at www.prt.wa.gov
Choose “myFulfillment” (located on the right side of the screen)
You will be asked if you are new or if you have been here before. Click on the appropriate box.
- If you are new, you will be asked to enter a user name and password. (Use your email address as your login. This allows Department of Printing to easily find your password should you ever forget it.) If someone else is not using your login, it will immediately be accepted. Write down your login and password for future reference.
Steps to find the products:
- Select “Shop by Agency”
- Select “Department of Health”
- Select “WIC”. The materials are broken down into categories. Click on the category and then the item and you will see a picture and/or a brief description of the item. Many of our items have links to the PDF files so that you can print copies from your home/office PC.
- Click on the “Add to Cart” and it will place it in your shopping cart by
Important! You will need to change the quantity from the default of 1 and click “Update Cart.” If you do not click update cart you will receive the default number of 1 item.
You will continue shopping and updating the cart until you have all of the items you wish to receive and then you will need to “Check Out.”
Enter all your shipping information. (Please note—all items will be shipped to a physical address—no PO Boxes please)
When entering your contact and ship to information please note…
- Enter your clinic name in the “First Name” field
- Your first and last name in the “Last Name” field
- Please be sure to include your phone number with area code.
Click the “Continue” button and you should see a confirmation of your order.
Please make a copy of the confirmation page including the web order number for your records.
If there are any problems with your order or the ordering process please contact Patty Mattinson at (360) 236-3606. Patty will need your confirmation order number to track and assist you with your order.

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Prenatal Weight Gain Grids

The Washington WIC Nutrition Program uses prenatal weight gain grids based on the 2009 Institute of Medicine (IOM) prenatal weight gain guidelines. A pregnant woman’s weight is plotted on a prenatal weight gain grid based on her pre-pregnant Body Mass Index (BMI) and if it is a singleton or multiples pregnancy.