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Wisconsin Department of Health Services

If You Have Complaints about Wisconsin Health Care

Information about Division of Quality Assurance (DQA)

Provider Types Regulated by DQA

DQA Listservs

Provider Search

Provider Training

DQA Numbered Memos

DHS Forms

Remodeling of Health Care Facilities

WI Nurse Aide Training and Registry Info

Caregiver Program/ Background Checks

WI Adult Programs Caregiver Misconduct Registry

Clinical Laboratories - Forms

Introduction | Forms | Contacts | Publications

Contact the Division of Quality Assurance for questions regarding the following forms:

The following items are fillable PDF forms, select the first field to begin typing. Tab from field to field. You can print these changed documents but you cannot save them.

Also please review:

Wisconsin Licensing Portal Information:


Last Updated: June 30, 2014