WIC Contact Form

WIC Contact Form

If you are interested in having someone from Chemung County WIC contact you to see if you are eligible, please fill in the information below.
Who may apply:
- Pregnant women
- Breastfeeding women
- Postpartum women (up to 6 months after delivery)
- Parents or caregivers of infants and children under age 5 years
You can contact the Chemung County WIC Office at:
- Phone: 607-737-2039
- Fax: 607-737-3693
Your Name*

First NameLast Name
Your Phone Number*
Please enter a valid phone number.
Your Email (put noemail@aol.com if you don't have one)*
example@example.com
Comments/Notes
Should be Empty: