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Official DHS 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 document, enter the number or a portion of the title in the search box below. To narrow your search results even more, place quotation marks (" ") around search terms.

If you are looking for an informative document, visit our Informative Documents and Publications Library. If you need a file in another file format or can't find what you are looking for here, reach out to the Digital Communications Team at dhsfmorder@dhs.wisconsin.gov. You can typically expect a response within 1-2 business days.

Assigned number Title Division Language Release date File type Available to order
F-44243A Congenital Syphilis Case Report DPH English 01/2025 PDF No
F-21336 Consent for Exchange of Information with Local Educational Agency DMS English 03/2017 Word No
F-21336S Consent for Exchange of Information with Local Educational Agency, Spanish DMS Spanish 03/2017 Word No
F-43018 Consent for HIV Testing DPH English 02/2019 PDF No
F-43018H Consent for HIV Testing, Hmong DPH Hmong 02/2019 PDF No
F-43018S Consent for HIV Testing, Spanish DPH Spanish 02/2019 PDF No
F-22538 Consent to Photograph or Record and Use of Photographs/Recordings DCTS English 11/2021 PDF No
F-22538 Consent to Photograph or Record and Use of Photographs/Recordings DCTS English 11/2021 Word No
F-22538S Consent to Photograph or Record and Use of Photographs/Recordings, Spanish DCTS Spanish 11/2021 PDF No
F-22538S Consent to Photograph or Record and Use of Photographs/Recordings, Spanish DCTS Spanish 11/2021 Word No
F-01238 Consent to Release Medical Information Referral to a Children’s Resource Center for Children and Youth with Special Health Care Needs (CYSHCN) DPH English 06/2025 PDF No
F-01238S Consent to Release Medical Information Referral to a Children’s Resource Center for Children and Youth with Special Health Care Needs (CYSHCN), Spanish DPH Spanish 06/2025 PDF No
F-00397 Consent to Use and Disclose Information for Multiple Registration/Continuity of Care DCTS English 08/2016 Word No
F-02050 Coordinated Services Teams (CST) Final Expenditure Report DCTS English 03/2023 Excel No
F-02310 Coordinated Services Teams Initiatives Survey DCTS English 04/2022 HTML No
F-29314 COP Declaration of Income and Assets, and State Residency DPH English 01/2019 PDF No
F-29314 COP Declaration of Income and Assets, and State Residency DPH English 01/2019 Word No
F-05044C Coroner / Medical Examiner - Cause of Death Amendment DPH English 12/2004 HTML No
F-03311 Corporate Guardianship Change Requests DQA English 07/2025 HTML No
F-62546 Corporate Guardianship Program Annual Report DQA English 06/2023 HTML No
F-60820 Corporate Guardianship Program Status Application DQA English 03/2025 HTML No
F-03217 Corporate Guardianship Ward Increase County Performance Report DQA English 08/2023 HTML No
F-02230 County Agency Children's Community Option Program (CCOP) Annual Plan Update DMS English 09/2018 PDF No
F-02230 County Agency Children's Community Option Program (CCOP) Annual Plan Update DMS English 09/2018 Word No
F-01814 County Agency Children’s Community Options Program (CCOP) Five-Year Plan DMS English 04/2021 Word No
F-00388 County Birth to 3 Fiscal Reconciliation Report DMS English 02/2025 Excel No
F-00634 County Birth to 3 Program Annual Notification of Parental Rights Regarding Records DMS English 02/2017 Word No
F-00634S County Birth to 3 Program Annual Notification of Parental Rights Regarding Records, Spanish DMS Spanish 02/2017 Word No
F-02892 County Crisis or APS Partner Portal Request DMS English 10/2021 Word No
F-20822 County Review of Nursing Home, IMD or ICF / IID Referrals DCTS English 09/2016 PDF No
F-20822 County Review of Nursing Home, IMD or ICF / IID Referrals DCTS English 09/2016 Word No
F-02341 County Waiver Agency Contact: Wisconsin Children's Long-Term Support (CLTS) Waiver Provider SharePoint Site DMS English 11/2019 HTML No
F-00539 County Waiver Agency Support and Service Coordination (SSC) Rates DMS English 09/2019 Excel No
F-20933 Court Order for Assessment DCTS English 02/2017 PDF No
F-20933S Court Order for Assessment, Spanish DCTS Spanish 02/2017 PDF No
F-20934 Court Ordered Assessment and Plan Report DCTS English 03/2017 PDF No
F-20934S Court Ordered Assessment and Plan Report, Spanish DCTS Spanish 03/2017 PDF No
F-01647 Coverdell Emergency Medical Services (EMS) Partner Agreement DPH English 09/2024 PDF No
F-01648 Coverdell Stroke Care Partner Agreement DPH English 07/2021 PDF No
F-01649 Coverdell Stroke Hospital Agreement DPH English 07/2025 PDF No
F-02737A COVID Impact Survey for Behavioral Health Providers - Prep DCTS English 10/2020 PDF No
F-02737 COVID Impact Survey for Behavioral Health Providers - Prep DCTS English 10/2020 HTML No
F-02658A COVID-19 Baseline Testing: Resident/Patient/Client Consent DQA English 11/2020 Word No
F-02792 COVID-19 Community-Based Vaccination Clinic: Vaccine Administration Record and Screening DPH English 04/2021 PDF No
F-02724 COVID-19 Contact Notification Information DPH English 10/2020 PDF No
F-02631 COVID-19 Contact Tracing Interview DPH English 03/2020 PDF No
F-02719 COVID-19 Initial Case Interview DPH English 08/2021 PDF No
F-02647 COVID-19 Isolation Site - Emergency Contact DPH English 04/2020 PDF No
F-02647S COVID-19 Isolation Site - Emergency Contact, Spanish DPH Spanish 04/2020 PDF No
F-02648 COVID-19 Isolation Site - Occupant Agreement DPH English 04/2020 PDF No

DHS is required under Wis. Stat. § 15.04(1) to establish and maintain a forms management program, appoint a forms officer, and establish and maintain a numbering and filing system for official forms.

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Last revised October 27, 2025