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Official DHS Forms Library

Temporary closure notice

The DHS forms and publications center is moving! To allow time for this move, we will not be processing any paper order requests October 9 through October 21. Any requests received during this time will be processed in the order they were received, beginning October 22.

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-11103 Optional Outpatient Mental Health Assessment and Treatment / Recovery Plan DMS English 10/2008 PDF No
F-11103 Optional Outpatient Mental Health Assessment and Treatment / Recovery Plan DMS English 10/2008 Word No
F-11103A Optional Outpatient Mental Health Assessment and Treatment / Recovery Plan: Completion Instructions DMS English 07/2012 PDF No
F-01198 Optional School-Based Services Activity Log Nursing / Therapy Medical Services DMS English 07/2008 PDF No
F-01198 Optional School-Based Services Activity Log Nursing / Therapy Medical Services DMS English 07/2008 Word No
F-01199 Optional School-Based Services Activity Medication Administration DMS English 07/2008 PDF No
F-01199 Optional School-Based Services Activity Medication Administration DMS English 07/2008 Word No
F-02583 Options Counseling Record Review Tool DPH English 08/2021 Word No
F-02861 Options Counseling Supervisor Observation and Support Tool DPH English 08/2021 Word No
F-03293 Oral Health Pathway Connection Opportunity Consent DPH English 07/2024 HTML No
F-03293H Oral Health Pathway Connection Opportunity Consent, Hmong DPH Hmong 07/2024 HTML No
F-03293S Oral Health Pathway Connection Opportunity Consent, Spanish DPH Spanish 07/2024 HTML No
F-25207 Order Granting Capias DCTS English 03/2021 Word No
F-25207 Order Granting Capias DCTS English 03/2021 PDF No
F-25207A Order Granting Capias - Outpatient Competency Restoration Program DCTS English 06/2025 Word No
F-25180 Order of Discharge Upon Expiration of Commitment DCTS English 03/2021 PDF No
F-25180 Order of Discharge Upon Expiration of Commitment DCTS English 03/2021 Word No
F-25205 Order to Transport DCTS English 10/2018 PDF No
F-25205 Order to Transport DCTS English 10/2018 Word No
F-00989N Other Services / Community and Medical Supports (IFSP) DMS English 02/2017 Word No
F-00989NS Other Services / Community and Medical Supports (IFSP), Spanish DMS Spanish 02/2017 Word No
F-80940A Out-of-State Travel Request DES English 06/2011 HTML No
F-03379 Outpatient Integrated Behavioral Health Treatment Service DHS 75.50 - Applicant Compliance Statement DQA English 05/2025 Word No
F-00381 Outpatient Mental Health Clinic Certification Withdrawal Checklist DQA English 03/2011 Word No
F-00381 Outpatient Mental Health Clinic Certification Withdrawal Checklist DQA English 03/2011 PDF No
F-00785 Outpatient Mental Health Clinic Recertification Application - DHS 35 DQA English 08/2016 PDF No
F-00785 Outpatient Mental Health Clinic Recertification Application - DHS 35 DQA English 08/2016 Word No
F-03373 Outpatient Mental Health Clinics DHS 35 - Applicant Compliance Statement DQA English 05/2025 Word No
F-00059 Outpatient Mental Health Clinics Initial Certification Application - DHS 35 DQA English 06/2024 Word No
F-03378 Outpatient Substance Use Treatment Service DHS 75.49 - Applicant Compliance Statement DQA English 05/2025 Word No
F-02610C Owner-Occupied Properties - Lead-Safe Homes Program (LSHP) Application and Worksheet DPH English 08/2025 HTML No
F-02610 Owner-Occupied Properties - Lead-Safe Homes Program Application DPH English 03/2024 PDF No
F-02610S Owner-Occupied Properties - Lead-Safe Homes Program Application, Spanish DPH Spanish 03/2024 PDF No
F-02483 PACE Program Enrollment DPH English 02/2024 Word No
F-02483 PACE Program Enrollment (DocuSign) DPH English 02/2024 HTML No
F-02483LP PACE Program Enrollment (Large Print) DPH English 02/2024 Word No
F-02483AR PACE Program Enrollment, Arabic DPH Arabic 02/2024 PDF No
F-02483CM PACE Program Enrollment, Chinese (Simplified) DPH Chinese (Simplified) 02/2024 Word No
F-02483H PACE Program Enrollment, Hmong DPH Hmong 02/2024 Word No
F-02483L PACE Program Enrollment, Laotian DPH Laotian 02/2024 Word No
F-02483R PACE Program Enrollment, Russian DPH Russian 02/2024 Word No
F-02483SE PACE Program Enrollment, Serbo-Croatian DPH Serbian (Serbo-Croatian) 02/2024 Word No
F-02483SO PACE Program Enrollment, Somali DPH Somali 02/2024 Word No
F-02483S PACE Program Enrollment, Spanish DPH Spanish 02/2024 Word No
F-02484 Pace Program Member Requested Disenrollment or Transfer Instructions DPH English 02/2024 Word No
F-02484 Pace Program Member Requested Disenrollment or Transfer Instructions (DocuSign) DPH English 02/2024 HTML No
F-02484LP Pace Program Member Requested Disenrollment or Transfer Instructions (Large Print) DPH English 02/2024 Word No
F-02484AR Pace Program Member Requested Disenrollment or Transfer Instructions, Arabic DPH Arabic 02/2024 PDF No
F-02484CM Pace Program Member Requested Disenrollment or Transfer Instructions, Chinese (Simplified) DPH Chinese (Simplified) 02/2024 Word No
F-02484H Pace Program Member Requested Disenrollment or Transfer Instructions, Hmong DPH Hmong 02/2024 Word 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.

Glossary

 
Last revised August 28, 2025