/ MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICES
WIC AND NUTRITION SERVICES

WIC Nutrition Education Resource Request

AGENCY NAME /

AGENCY/CLINIC NO.

/ CONTROL NO. (DHSS WAREHOUSE USE ONLY)
REQUESTER’S NAME (PLEASE TYPE or PRINT) / REQUESTER’S PHONE NO. / DATE
ENGLISH
/ ITEM NO. / QUANTITY
ORDERED / UNIT /
SPANISH
/ ITEM NO. / QUANTITY
ORDERED / UNIT
Exit Counseling / 712 / 50 / pkt / Exit Counseling / 748 / 50 / pkt
Foods To Grow On Birth To 12 Months / 618 / Each / Foods To Grow On Birth To 12 Months / 620 / Each
MyPyramid For Kids / 249 / 50 / pad / MyPyramid For Kids / 262 / 50 / pad
MyPyramid For Pregnancy / 187 / Each / MyPyramid For Pregnancy / 259 / 50 / pad
MyPyramid – Steps to Healthier You / 245 / 50 / pad / MyPyramid – Steps to Healthier You / 261 / 50 / pad
Weight Gain During Pregnancy / 158 / Each / Weight Gain During Pregnancy / 150 / Each
Milk for Kids With Lactose Intolerance / 348 / 50 / pad / Milk for Kids With Lactose Intolerance / 301 / 50 / pad
Let's Eat Out! Healthful Fast Foods / 349 / 50 / pad / Let's Eat Out! Healthful Fast Foods / 303 / 50 / pad
Fight BAC! Keep Family Food Safe / 350 / 50 / pad / Fight BAC! Keep Family Food Safe / 337 / 50 / pad
Iron in Foods: Does My Child Get Enough? / 356 / 50 / pad / Iron in Foods: Does My Child Get Enough? / 368 / 50 / pad
Food Allergies, or Just Food Fussiness? / 367 / 50 / pad / Food Allergies, or Just Food Fussiness? / 369 / 50 / pad
Fats in Foods: How Much for Kids? / 994 / 50 / pad / Fats in Foods: How Much for Kids?* / 1053 / 50 / pad
The ABC’s of Hand Washing / 995 / 50 / pad / The ABC’s of Hand Washing* / 1054 / 50 / pad
Family Meals – FAST, Healthful! / 996 / 50 / pad / Family Meals – FAST, Healthful!* / 1055 / 50 / pad
Why Snack? / 997 / 50 / pad / Why Snack?* / 1056 / 50 / pad
Supplements…Do Kids Need Them? / 998 / 50 / pad / Supplements…Do Kids Need Them?* / 1057 / 50 / pad
Why Breakfast? / 999 / 50 / pad / Why Breakfast?* / 1058 / 50 / pad
Pregnant? Drugs & Alcohol Can Hurt Your Unborn Baby / 579 / Each / Pregnant? Drugs & Alcohol Can Hurt Your Unborn Baby / 580 / Each
Welcome to WIC / 1204 / 50 / pkt / Welcome to WIC / 1200 / 50 / pkt
Iron For Your Child / 266 / Each
You & Your Red Blood Cells / 495 / Each
Eat More Fruits And Vegetables / 600 / Each
5 A Day The Color Way Your Guide / 601 / Each
Leading The Way To Better Health / 598 / Each /
ENGLISH / SPANISH BILINGUAL
/ ITEM NO. / QUANTITY
ORDERED / UNIT
A Special Message For Grandparents (English/Spanish) / 167 / E50 / pad
* New— Will be available at the DHSS Warehouse by August 31, 2007.
Please fax this form to the DHSS Warehouse at 573-751-1574.
If you have questions, contact Takako Tagami, Phone: 1-800-392-8209, or E-mail:
MO 580-2862 (8-07) This institution is an equal opportunity provider.WIC-7