Click HERE for a list of Walgreens pharmacies that will be administering H1N1 vaccines. Please call Walgreens
toll-free number for information about vaccine availability and requisites. (800) 925-4733 - 7:30 am to
5 pm, Monday thru Friday.

Women, Infants & Children

Referral Forms



The following forms can be downloaded in Adobe PDF format. If you do not have an Adobe PDF Reader, you can download the appropriate version at the Adobe Web Site or contact The Miami-Dade County Health Department at 786-336-1300 and request a form.

» WIC Program Formula Request

» WIC Program Medical Referral Form



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