Is your next appointment a certification?  You can save time by completing these forms from home. 

If mom is being certified, complete the Women’s Questionnaire

For children 1-4 complete the Child’s Questionnaire

For infants less than 12 months old use the Infant Questionnaire.



Car Seats / Bike Helmets   or

Child Care / Day Care

Child Support (Domestic Relations)

Childhood Immunization
(Health Topics A-Z, Immunizations)

Childhood Lead Poisoning
(Health Topics A-Z, Lead Poisoning Prevention)

Children’s Health Insurance Program (CHIP)

Drug and Alcohol
(Need Help Now?)


Emergency Food Providers and Food Pantries

FDA Food and Safety Recalls 

Head Start / Early Head Start Programs

Healthy Baby Line

Help in PA

Mental Health & Substance Abuse Services 

Migrant Education Program

National Domestic Violence Hotline

National Hispanic Family Health Hotline


School Breakfast, Lunch, and Summer Food Programs

Sexually Transmitted Diseases
(Health Topics A-Z, Sexually Transmitted Diseases)

Special Kids Network System of Care
(Health Topics, Special Kids Network)


Welfare Helpline

Helpful Community Services Links

Forms for Appointments

Tapestry of Health WIC Program

Forms for Appointments