If You Have Complaints about Wisconsin Health Care

Information about Division of Quality Assurance (DQA)

DQA Web Pages Information

Provider Types Regulated by DQA

DQA Listservs

Consumer Information

Provider Search

DQA Facility Directories

DQA Provider Training

DQA Numbered Memos

DHS Forms

Construction/
Remodeling of Health Care Facilities

WI Nurse Aide Training and Registry Info

Caregiver Program/ Background Checks

WI Adult Programs Caregiver Misconduct Registry

Wisconsin Hospitals - Forms

Introduction | Rules_&_Regulations | Forms | Providers | Contacts | What's_Happening | Publications | Related Sites

For questions regarding general and critical access hospitals, you may contact us via E-mail: Division of Quality Assurance

For information concerning processing state and federal certifications for Wisconsin general and critical access hospitals, contact the Compliance Specialist at (608) 266-7297.

• State Mandated Report of Death by Suicide, Seclusion/Restraint or Psychotropic Drugs.  DQA - 2470

• Federally Mandated Hospital Restraint/Seclusion Death Reporting (PDF, 13 KB) - Worksheet.

• Fire Report form DQA F-62500 (Word, 78 KB) - Fillable form with contacts to assist the reporting of fires in a healthcare facility.

• Fire Watch memorandum DQA 12-013 - Outlines the minimum procedures for when a required sprinkler or fire alarm system is out of service.

• Wisconsin Client Rights and Grievance Procedure

• Construction/Remodeling of Health Care Facilities
  Plan Review Requirements

PDF: The free Acrobat Reader^® software is needed to view and print portable document format (PDF) files. Learn more.

Last Updated: August 21, 2012