If the form or publication you are interested in is not available on this site, you may contact one of the forms managers listed below. Please contact the manager who is responsible for the program area in which you are interested. When emailing, provide the form number, form title, your telephone number and (street) mailing address. You can typically expect a response within 48 hours.
Division/Office Name |
Form/Publication Manager |
|---|---|
| Division of Long Term Care - DLTC OR Division of Mental Health and Substance Abuse Services - DMHSAS |
Jim Pritchard |
| Division of Health Care Access and Accountability - DHCAA Office of the Inspector General - OIG
|
Lori Schultz Room 665 P.O. Box 7850 Madison WI 53701 608-266-8439 dhsfmhcfphc@wisconsin.gov |
|
Division of Enterprise Services - DES Division of Quality Assurance - DQA |
Jenny Haight Room 665 P.O. Box 7850 Madison WI 53701 608-261-4954 dhsfmdmtpmt@wisconsin.gov |
| Public Health - DPH | Cris Caputo Room 665 P.O. Box 7850 Madison WI 53701 608-267-9054 dhsfmdphpph@wisconsin.gov |
Last Revised: November 24, 2015
