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Your appointment!

These California cities only

South Los Angeles, Bell, Bell Gardens, Compton, Cudahy, Downey, Huntington Park, Lynwood, Maywood, Paramount, South Gate, Vernon

Please complete this form. A WIC representative will contact you soon and give you an appointment date and time.

My WIC ID number (required)*
If you don't have your WIC ID number, call (310) 661-3080.
- I want to change my appointment.
- I forgot my appointment.
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Please enter all 10 numbers:
xxx-xxx-xxxx
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A second phone number with area code
Please enter all 10 numbers:
xxx-xxx-xxxx
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Address
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What is the best time to reach you?
- 8:00 a.m. - noon (morning)
- noon - 4 p.m. (afternoon)
- 4 p.m. - 8 p.m. (evening)
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Do you have questions about this form? Phone (310) 661-3080

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¿Tiene usted preguntas acerca de esta forma? Teléfono (310) 661-3080.

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