20250-9410 (2) fax: (202) 690-7442 or (3) email: This institution is an equal opportunity provider.įor other complaints or to request a Fair Hearing contact: Department of Agriculture Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW Washington, D.C. Submit your completed form or letter to USDA by: (1) mail: U.S.
To request a copy of the complaint form, call (866) 632-9992.
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To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: How to File a Complaint, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. Additionally, program information may be made available in languages other than English. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Persons with disabilities who require alternative means of communication for program information (e.g. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA. In accordance with Federal civil rights law and U.S.
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Non-discrimination statement: ( Find a link to the PDF here) They can help link you to preventive and primary health care, social support and educational resources in Erie County. WIC conducts outreach online, over the phone, or in person, as appropriate.īuffalo Prenatal-Perinatal Network: Another agency whose mission is to improve pregnancy outcomes and promote better health care for women and children. 2154. WIC is able to do presentations for your staff or clients, participate in your community meetings or events, or supply you with WIC brochures for easy referrals to WIC. Information for health care providers: Click here. For a video guide on filling out the Medical Form, please click here.Ĭommunity Agency and Medical Providers: If you are interested in learning more about the WIC program, please call the WIC Outreach Supervisor at 71 ext. Callers can make or change appointments, ask general questions, be connected with a nutritionist or breastfeeding specialist, request outreach materials or presentations and connect with any WIC staff member throughout Chautauqua, Erie and Niagara counties.įorms you may need for your WIC appointment: From the NYS DOH, Medical Referral Form and Medical Form (fillable).
Referrals: What gets in the way of your health? Get information on services to help you and your family.Ĭentral Phone Number: Call (716) 218-1484 to connect to any WIC office. Use your Farmer's Market checks to get fresh fruits and vegetables.
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Free breast pumps when needed.ĮWIC Benefit Cards: Get healthy foods with your card at many stores. Make a plan for your family's health and wellness.īreastfeeding: Free brestfeeding help from nutritionists, lactation consultants, and peer counselors. Nutrition Education: Talk with our nutritionists. Not all of our locations are open every day, so please call us for the site schedule. To get WIC, you must live in NY State AND meet the income guidelines below. If you receive Medicaid, SNAP or TANF, you automatically qualify. WIC does not require US citizenship, social security number, or green card to receive benefits. To reach any of our sites serving Chautauqua, Erie and Niagara counties, call (716) 218-1484.