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 Sort descending Division Language Release Date File Type Available to Order
F-24277 Informed Consent for Medication - Trileptal (9/10/2024) DCTS English 05/2024 Word
F-24277 Informed Consent for Medication - Trintellix (5/7/2024) DCTS English 05/2024 PDF
F-24277 Informed Consent for Medication - Trintellix (5/7/2024) DCTS English 05/2024 Word
F-24277 Informed Consent for Medication - Valium (11/13/2017) DCTS English 05/2024 Word
F-24277 Informed Consent for Medication - Valium (11/13/2017) DCTS English 05/2024 PDF
F-24277 Informed Consent for Medication - Viibryd (9/10/2024) DCTS English 05/2024 Word
F-24277 Informed Consent for Medication - Viibryd (9/10/2024) DCTS English 05/2024 PDF
F-24277 Informed Consent for Medication - Visken (9/10/2024) DCTS English 05/2024 PDF
F-24277 Informed Consent for Medication - Visken (9/10/2024) DCTS English 05/2024 Word
F-24277 Informed Consent for Medication - Vistaril (9/10/2024) DCTS English 05/2024 PDF
F-24277 Informed Consent for Medication - Vistaril (9/10/2024) DCTS English 05/2024 Word
F-24277 Informed Consent for Medication - VRAYLAR (6/18/2020) DCTS English 05/2024 Word
F-24277 Informed Consent for Medication - VRAYLAR (6/18/2020) DCTS English 05/2024 PDF
F-24277 Informed Consent for Medication - Vyvanse (5/27/2021) DCTS English 05/2024 Word
F-24277 Informed Consent for Medication - Vyvanse (5/27/2021) DCTS English 05/2024 PDF
F-24277 Informed Consent for Medication - Wellbutrin (9/10/2024) DCTS English 05/2024 Word
F-24277 Informed Consent for Medication - Wellbutrin (9/10/2024) DCTS English 05/2024 PDF
F-24277 Informed Consent for Medication - Xanax (9/10/2024) DCTS English 05/2024 Word
F-24277 Informed Consent for Medication - Xanax (9/10/2024) DCTS English 05/2024 PDF
F-24277 Informed Consent for Medication - Xenazine (9/10/2024) DCTS English 05/2024 PDF
F-24277 Informed Consent for Medication - Xenazine (9/10/2024) DCTS English 05/2024 Word
F-24277 Informed Consent for Medication - Zoloft (9/10/2024) DCTS English 05/2024 Word
F-24277 Informed Consent for Medication - Zoloft (9/10/2024) DCTS English 05/2024 PDF
F-24277 Informed Consent for Medication - Zyprexa (4/16/2021) DCTS English 05/2024 PDF
F-24277 Informed Consent for Medication - Zyprexa (4/16/2021) DCTS English 05/2024 Word
F-24277 Informed Consent For Medication Exelon (5/27/2021) DCTS English 05/2024 Word
F-24277 Informed Consent for Medication, Blank (PRINT BACK-TO-BACK) DCTS English 05/2024 PDF
F-20941 Informed Consent for Participation in Wisconsin's Money Follows the Person (MFP) Demonstration DMS English 09/2018 Word
F-20941S Informed Consent for Participation in Wisconsin's Money Follows the Person (MFP) Demonstration, Spanish DMS Spanish 09/2018 Word
F-21076 Informed Consent – Children's Long-Term Support Functional Screen DMS English 03/2021 Word
F-21076KA Informed Consent – Children's Long-Term Support Functional Screen, Karen DMS Karen 03/2021 PDF
F-21076RY Informed Consent – Children's Long-Term Support Functional Screen, Rohingya DMS Rohingya 03/2021 Word
F-21076SO Informed Consent – Children's Long-Term Support Functional Screen, Somali DMS Somali 03/2021 Word
F-21076V Informed Consent – Children's Long-Term Support Functional Screen, Vietnamese DMS Vietnamese 03/2021 Word
F-02031S Initial Application - Individual Lead Disciplines, Spanish DPH Spanish 11/2023 PDF
F-03082C Initial Certification Application for Branch Office or School Branch Office DQA English 08/2022 Word
F-03082F Initial Certification Application for DHS 75.59 Opioid Treatment Program (OTP) Mobile Unit DQA English 07/2023 Word
F-03082 Initial Certification or Change of Ownership Application for DHS 75.14 and DHS 75.15 Service Certification DQA English 08/2022 Word
F-03082A Initial Certification or Change of Ownership Application for DHS 75.49, DHS 75.50, DHS 75.51, and DHS 75.52 Service Certification DQA English 08/2022 Word
F-03082B Initial Certification or Change of Ownership Application for DHS 75.59 Service Certification DQA English 08/2022 Word
F-03082D Initial Certification or Change of Ownership Application for DHS 75.60 Service Certification DQA English 08/2022 Word
F-47463J Initial EMS Service Providers Operational Plan Components Checklist DPH English 09/2022 Word
F-02996 Initial Lead Abatement Certification Application DPH English 10/2023 PDF
F-02996S Initial Lead Abatement Certification Application, Spanish DPH Spanish 11/2023 PDF
F-02031 Initial Lead Application - Individual Certification DPH English 11/2023 PDF
F-10097 Institutional Medicaid Income Allocation DMS English 04/2024 PDF
F-10097H Institutional Medicaid Income Allocation, Hmong DMS Hmong 04/2024 PDF
F-10097S Institutional Medicaid Income Allocation, Spanish DMS Spanish 04/2024 PDF
F-80983A Instructions - Completing the Civil Rights Complaint OLC English 04/2024 PDF
F-80983ABU Instructions - Completing the Civil Rights Complaint, Burmese OLC Burmese 04/2024 PDF

Glossary

 
Last revised December 4, 2024