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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-62495 Compliance Statement DQA English 08/2020 Word No
F-13073 Compound Drug Claim DMS English 04/2017 PDF No
F-13073 Compound Drug Claim DMS English 04/2017 Word No
F-13073A Compound Drug Claim: Completion Instructions DMS English 02/2025 PDF No
F-01216 Comprehensive Community Services (CCS) for Persons with Mental Disorders and Substance Use Disorders Regional Model Supplemental Application DHS 36 DQA English 05/2014 Word No
F-01216 Comprehensive Community Services (CCS) for Persons with Mental Disorders and Substance Use Disorders Regional Model Supplemental Application DHS 36 DQA English 05/2014 PDF No
F-02759 Comprehensive Community Services Cost Settlement Advance Request DMS English 01/2025 Word No
F-01270 Comprehensive Community Services Non-Traditional Approval DMS English 07/2014 PDF No
F-01270 Comprehensive Community Services Non-Traditional Approval DMS English 07/2014 Word No
F-25614 Conditional Release Rules and Conditions DCTS English 01/2017 PDF No
F-25614 Conditional Release Rules and Conditions DCTS English 01/2017 Word No
F-25614H Conditional Release Rules and Conditions, Hmong DCTS Hmong 01/2017 PDF No
F-25614H Conditional Release Rules and Conditions, Hmong DCTS Hmong 01/2017 Word No
F-25614S Conditional Release Rules and Conditions, Spanish DCTS Spanish 01/2017 Word No
F-25614S Conditional Release Rules and Conditions, Spanish DCTS Spanish 01/2017 PDF No
F-40054A Confidential Birth Defects Registry - Request to Remove Identifiers DPH English 01/2018 PDF No
F-40054AS Confidential Birth Defects Registry - Request to Remove Identifiers, Spanish DPH Spanish 01/2018 PDF No
F-40054 Confidential Birth Defects Registry Report DPH English 10/2025 PDF No
F-40054 Confidential Birth Defects Registry Report DPH English 10/2025 Word No
F-01068M Confidential Health Survey DMS English 08/2019 PDF No
F-01068M Confidential Health Survey DMS English 08/2019 Word No
F-01068MS Confidential Health Survey, Spanish DMS Spanish 08/2019 PDF No
F-01068MS Confidential Health Survey, Spanish DMS Spanish 08/2019 Word No
F-82009 Confidential Information Release Authorization DES English 07/2008 Word No
F-82009 Confidential Information Release Authorization DES English 07/2008 PDF No
F-82009BU Confidential Information Release Authorization, Burmese DES Burmese 07/2008 PDF No
F-82009H Confidential Information Release Authorization, Hmong DES Hmong 07/2008 PDF No
F-82009RU Confidential Information Release Authorization, Russian DES Russian 07/2008 PDF No
F-82009S Confidential Information Release Authorization, Spanish DES Spanish 07/2008 Word No
F-82009S Confidential Information Release Authorization, Spanish DES Spanish 07/2008 PDF No
F-82009GP Confidential Information Release Authorization: Government Performance and Results Modernization Act of 2010 (GPRAMA) (10/31/2025) DCTS English 07/2008 PDF No
F-82009GPS Confidential Information Release Authorization: Government Performance and Results Modernization Act of 2010 (GPRAMA) (10/31/2025) DCTS Spanish 07/2008 PDF No
F-82009AA Confidential Information Release Authorization: Katie Beckett Program (3/15/2017) DMS English 07/2008 Word Yes
F-82009AAH Confidential Information Release Authorization: Katie Beckett Program, Hmong (3/15/2017) DMS Hmong 07/2008 PDF No
F-82009AAS Confidential Information Release Authorization: Katie Beckett Program, Spanish (3/15/2017) DMS Spanish 07/2008 PDF No
F-82009V Confidential Information Release Authorization: Rehabilitation Review (08/04/2025) DQA English 07/2008 PDF No
F-82009Y Confidential Information Release Authorization: Testing Records (7/1/2008) DCTS English 07/2008 PDF No
F-82009Y Confidential Information Release Authorization: Testing Records (7/1/2008) DCTS English 07/2008 Word No
F-82009TC Confidential Information Release Authorization: Transportation Complaint Research (3/1/2013) DMS English 07/2008 Word No
F-82009W Confidential Information Release Authorization: Two Entities (8/3/2020) OLC English 07/2008 Word No
F-82009W Confidential Information Release Authorization: Two Entities (8/3/2020) OLC English 07/2008 PDF No
F-82009WS Confidential Information Release Authorization: Two Entities, Spanish (8/3/2020) OLC Spanish 07/2008 PDF No
F-82009WS Confidential Information Release Authorization: Two Entities, Spanish (8/3/2020) OLC Spanish 07/2008 Word No
F-82009F Confidential Information Release Authorization: WISHIN (5/1/2020) DCTS English 07/2008 PDF No
F-82009F Confidential Information Release Authorization: WISHIN (5/1/2020) DCTS English 07/2008 Word No
F-02829 Confidentiality Agreement For Receipt of CMS Unique ID - SHIP DPH English 01/2024 PDF No
F-81020E Confidentiality and Non-Disclosure Acknowledgement: Volunteer (Food Pantry) DMS English 12/2018 Word No
F-81020A Confidentiality and Non-Disclosure Agreement: Contractor DES English 06/2008 PDF No
F-81020A Confidentiality and Non-Disclosure Agreement: Contractor DES English 06/2008 Word No
F-00896 Conflict of Interest Determination - Wisconsin WIC Program DPH English 05/2017 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 October 27, 2025