Wisconsin Department of Health Services
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Guidance: Individual Service PlansReturn to the 1915(i) Community Recovery Services (CRS), Consumer Application Packet Guidance Home Page The purpose of the documents on this webpage is to assist county and tribal case managers as they prepare their consumer service plan packets for submission. We've included links to the official forms, as well as examples of completed forms which we encourage you to review prior to embarking on your service plan packet. An excellent place to begin is by reviewing the Presentation on Service Plan Packets (PDF, 163 KB). DHS Form F-00202: Individual Service Plan (MS Word fillable, 92 KB) DHS Form F-00202A: Individual Outcomes Page (MS Word fillable, 47 KB) DHS Form F-00202I: Individual Service Plan - Instructions (MS Word fillable, 92 KB) Example of a completed DHS form F-00202: Individual Service Plan (PDF, 489 KB) Example of a completed DHS form F-00202A: Individual Outcomes Page (PDF, 241 KB) Rate Sheet Examples and Templates Last Revised: July 30, 2012 |