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Official DHS Forms Library

Forms produced by the Wisconsin Department of Health Services are available electronically and/or for paper order. Review the "Available to Order" column below to ensure availability in paper format. If the document is available to order in a paper version, there will be a "Yes" with a link to ordering instructions. When you are searching for a document, enter the number or a portion of the title in the search box below. To narrow your search results even more, place quotation marks (" ") around search terms.

If you are looking for an informative document, visit our Informative Documents and Publications Library. If you need a file in another file format or can't find what you are looking for here, reach out to the Digital Communications Team at dhsfmorder@dhs.wisconsin.gov. You can typically expect a response within 1-2 business days.

Assigned Number Title Division Language Release Date File Type Available to Order
F-82009S Confidential Information Release Authorization, Spanish DES Spanish 07/2008 Word No
F-82009GP Confidential Information Release Authorization: Government Performance and Results Modernization Act of 2010 (GPRA) (9/30/2024) DCTS English 07/2008 PDF No
F-82009GPS Confidential Information Release Authorization: Government Performance and Results Modernization Act of 2010 (GPRA), Spanish (9/30/2024) DCTS Spanish 07/2008 PDF No
F-82009AA Confidential Information Release Authorization: Katie Beckett Program (3/15/2017) DMS English 07/2008 Word Yes
F-82009AAH Confidential Information Release Authorization: Katie Beckett Program, Hmong (3/15/2017) DMS Hmong 07/2008 PDF No
F-82009AAS Confidential Information Release Authorization: Katie Beckett Program, Spanish (3/15/2017) DMS Spanish 07/2008 PDF No
F-82009V Confidential Information Release Authorization: Rehabilitation Review (12/6/2018) OLC English 07/2008 Word No
F-82009Y Confidential Information Release Authorization: Testing Records (7/1/2008) DCTS English 07/2008 Word No
F-82009Y Confidential Information Release Authorization: Testing Records (7/1/2008) DCTS English 07/2008 PDF No
F-82009TC Confidential Information Release Authorization: Transportation Complaint Research (3/1/2013) DMS English 07/2008 Word No
F-82009W Confidential Information Release Authorization: Two Entities (8/3/2020) OLC English 07/2008 Word No
F-82009W Confidential Information Release Authorization: Two Entities (8/3/2020) OLC English 07/2008 PDF No
F-82009WS Confidential Information Release Authorization: Two Entities, Spanish (8/3/2020) OLC Spanish 07/2008 Word No
F-82009WS Confidential Information Release Authorization: Two Entities, Spanish (8/3/2020) OLC Spanish 07/2008 PDF No
F-82009F Confidential Information Release Authorization: WISHIN (5/1/2020) DCTS English 07/2008 PDF No
F-82009F Confidential Information Release Authorization: WISHIN (5/1/2020) DCTS English 07/2008 Word No
F-02829 Confidentiality Agreement For Receipt of CMS Unique ID - SHIP DPH English 01/2024 PDF No
F-81020E Confidentiality and Non-Disclosure Acknowledgement: Volunteer (Food Pantry) DMS English 12/2018 Word No
F-81020A Confidentiality and Non-Disclosure Agreement: Contractor DES English 06/2008 Word No
F-81020A Confidentiality and Non-Disclosure Agreement: Contractor DES English 06/2008 PDF No
F-00978 Confirmation of Confidential Data Destruction - Wisconsin Cancer Reporting System (WCRS) DPH English 03/2014 Word No
F-00896 Conflict of Interest Determination - Wisconsin WIC Program DPH English 05/2017 Word No
F-44243A Congenital Syphilis Case Investigation Report DPH English 08/2021 PDF No
F-21336 Consent for Exchange of Information with Local Educational Agency DMS English 03/2017 Word No
F-21336S Consent for Exchange of Information with Local Educational Agency, Spanish DMS Spanish 03/2017 Word No
F-43018 Consent for HIV Testing DPH English 02/2019 PDF No
F-43018H Consent for HIV Testing, Hmong DPH Hmong 02/2019 PDF No
F-43018S Consent for HIV Testing, Spanish DPH Spanish 02/2019 PDF No
F-01164 Consent for Sterilization DMS English 10/2008 PDF No
F-01164 Consent for Sterilization DMS English 10/2008 Word No
F-01164A Consent for Sterilization Completion Instructions DMS English 10/2015 PDF No
F-01164S Consent for Sterilization, Spanish DMS Spanish 10/2008 Word No
F-01164S Consent for Sterilization, Spanish DMS Spanish 10/2008 PDF No
F-22538 Consent to Photograph or Record and Use of Photographs/Recordings DCTS English 11/2021 Word No
F-22538 Consent to Photograph or Record and Use of Photographs/Recordings DCTS English 11/2021 PDF No
F-22538S Consent to Photograph or Record and Use of Photographs/Recordings, Spanish DCTS Spanish 11/2021 PDF No
F-22538S Consent to Photograph or Record and Use of Photographs/Recordings, Spanish DCTS Spanish 11/2021 Word No
F-01238 Consent to Release Medical Information Referral to a Children’s Resource Center for Children and Youth with Special Health Care Needs (CYSHCN) DPH English 11/2023 PDF No
F-01238S Consent to Release Medical Information Referral to a Children’s Resource Center for Children and Youth with Special Health Care Needs (CYSHCN), Spanish DPH Spanish 11/2023 PDF No
F-00397 Consent to Use and Disclose Information for Multiple Registration/Continuity of Care DCTS English 08/2016 Word No
F-02050 Coordinated Services Teams (CST) Final Expenditure Report DCTS English 03/2023 Excel No
F-02310 Coordinated Services Teams Initiatives Survey DCTS English 04/2022 HTML No
F-29314 COP Declaration of Income and Assets, and State Residency DPH English 01/2019 PDF No
F-29314 COP Declaration of Income and Assets, and State Residency DPH English 01/2019 Word No
F-05044C Coroner / Medical Examiner - Cause of Death Amendment DPH English 12/2004 HTML No
F-03311 Corporate Guardianship Change Requests DQA English 11/2024 HTML No
F-62546 Corporate Guardianship Program Annual Report DQA English 06/2023 HTML No
F-60820 Corporate Guardianship Program Status Application DQA English 11/2024 HTML No
F-03217 Corporate Guardianship Ward Increase County Performance Report DQA English 08/2023 HTML No
F-02230 County Agency Children's Community Option Program (CCOP) Annual Plan Update DMS English 09/2018 PDF No

DHS is required under Wis. Stat. § 15.04(1) to establish and maintain a forms management program, appoint a forms officer, and establish and maintain a numbering and filing system for official forms.

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Last revised December 4, 2024