Skip to main content
State of Wisconsin flag

Official website of the State of Wisconsin

Dot gov

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

HTTPS

Secure .gov websites use HTTPS
A lock () or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

We have refreshed our website: Tell us what you think

Use the "Site Feedback" link found at the bottom of every webpage. We look forward to hearing from you!

Data Collection (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 form, enter the number or a portion of the title in the search box below.

Assigned Number Title Sort descending Division Language Release Date File Type Available to Order
F-24277TF Informed Consent For Medication-Trilafon DCTS English PDF
F-24277VI Informed Consent For Medication-Viibryd DCTS English Word
F-24277VI Informed Consent For Medication-Viibryd DCTS English PDF
F-24277VE Informed Consent For Medication-Vyvanse DCTS English PDF
F-24277VE Informed Consent For Medication-Vyvanse DCTS English Word
F-20941 Informed Consent for Participation in Wisconsin's Money Follows the Person (MFP) Demonstration DMS English Word
F-20941 Informed Consent for Participation in Wisconsin's Money Follows the Person (MFP) Demonstration, Spanish DMS Spanish Word
F-24277 Informed Consent for Psychotropic Medication DCTS English HTML
F-21076 Informed Consent – Children's Long-Term Support Functional Screen DMS English Word
F-21076 Informed Consent – Children's Long-Term Support Functional Screen, Karen DMS Karen PDF
F-21076 Informed Consent – Children's Long-Term Support Functional Screen, Rohingya DMS Rohingya Word
F-21076 Informed Consent – Children's Long-Term Support Functional Screen, Somali DMS Somali Word
F-02031 Initial Application - Individual Lead Disciplines, Spanish DPH Spanish PDF
F-03082C Initial Certification Application for Branch Office or School Branch Office DQA English Word
F-03082F Initial Certification Application for DHS 75.59 Opioid Treatment Program (OTP) Medication Unit, Mobile Medication Unit, or Mobile OTP Unit DQA English Word
F-03082 Initial Certification or Change of Ownership Application for DHS 75.14 and DHS 75.15 Service Certification DQA English 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 Word
F-03082E Initial Certification or Change of Ownership Application for DHS 75.53-DHS 75.58 Service Certification DQA English Word
F-03082B Initial Certification or Change of Ownership Application for DHS 75.59 Service Certification DQA English Word
F-03082D Initial Certification or Change of Ownership Application for DHS 75.60 Service Certification DQA English Word
F-47463J Initial EMS Service Providers Operational Plan Components Checklist DPH English Word
F-02996 Initial Lead Abatement Certification Application DPH English PDF
F-02031 Initial Lead Application - Individual Certification DPH English PDF
F-10097 Institutional Medicaid Income Allocation DMS English PDF
F-10097 Institutional Medicaid Income Allocation, Hmong DMS Hmong PDF
F-10097 Institutional Medicaid Income Allocation, Spanish DMS Spanish PDF
F-01187 Instructions DMS English PDF
F-11040 Instructions DMS English PDF
F-00286 Instructions DMS English PDF
F-00950 Instructions DMS English PDF
F-00556 Instructions DMS English PDF
F-01189 Instructions DMS English PDF
F-80112 Instructions DES English PDF
F-11079 Instructions DMS English PDF
F-20942A Instructions OPIB English PDF
F-11136 Instructions DMS English PDF
F-00162 Instructions DMS English PDF
F-01188 Instructions DMS English PDF
F-02382 Instructions DMS English PDF
F-00232 Instructions DMS English PDF
F-00202 Instructions (PDF, 177 KB) DCTS English PDF
F-80983 Instructions - Completing the Civil Rights Complaint OLC English PDF
F-80983 Instructions - Completing the Civil Rights Complaint, Hmong OLC Hmong PDF
F-80983 Instructions - Completing the Civil Rights Complaint, Spanish OLC Spanish PDF
F-00989i Instructions for Completing Wisconsin's Individualized Family Service Plan (IFSP) DMS English PDF
F-03112 Instructions for Logging HMO Appeals DMS English PDF
F-02466 Instructions for Logging MCO Appeals DMS English PDF
F-02466A Instructions for Logging MCO Grievances DMS English PDF
F-62022A Instructions for Report of Hours Worked and Resident Census Forms DQA English PDF
F-62022A Instructions for Report of Hours Worked and Resident Census Forms DQA English Word
Last revised January 23, 2023