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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-62645 Drug Repository Program: Recipient Record DQA English 05/2020 Word No
F-62645 Drug Repository Program: Recipient Record DQA English 05/2020 PDF No
F-62645A Drug Repository Program: Transfer Record DQA English 05/2020 Word No
F-02891 Durable Medical Equipment Home Accessibility Report DMS English 08/2022 Word No
F-02891 Durable Medical Equipment Home Accessibility Report DMS English 08/2022 PDF No
F-82064 E-Background Information Disclosure (eBID) DQA English 11/2025 HTML No
F-40303 Early Childhood Caries Prevention Screening DPH English 10/2025 PDF No
F-00989F Early Intervention Team Report / Wisconsin Early Intervention Eligibility Determination (IFSP) DMS English 02/2017 Word No
F-00989FS Early Intervention Team Report / Wisconsin Early Intervention Eligibility Determination (IFSP), Spanish DMS Spanish 02/2017 Word No
F-01411 Education - Medication Summary - Part B DPH English 10/2017 Word No
F-01410 Education Summary DPH English 07/2022 PDF No
F-11304 Effective for use before 01/01/2026: Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) Antagonist Drugs for Ankylosing Spondylitis DMS English 01/2025 PDF No
F-11304 Effective for use before 01/01/2026: Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) Antagonist Drugs for Ankylosing Spondylitis DMS English 01/2025 Word No
F-01950 Effective for use before 01/01/2026: Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) Antagonist Drugs for Crohn's Disease and Ulcerative Colitis DMS English 01/2025 Word No
F-01950 Effective for use before 01/01/2026: Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) Antagonist Drugs for Crohn's Disease and Ulcerative Colitis DMS English 01/2025 PDF No
F-01952 Effective for use before 01/01/2026: Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) Antagonist Drugs for Giant Cell Arteritis and Non-Radiographic Axial Spondyloarthritis DMS English 01/2025 Word No
F-01952 Effective for use before 01/01/2026: Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) Antagonist Drugs for Giant Cell Arteritis and Non-Radiographic Axial Spondyloarthritis DMS English 01/2025 PDF No
F-01952A Effective for use before 01/01/2026: Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) Antagonist Drugs for Giant Cell Arteritis and Non-Radiographic Axial Spondyloarthritis Instructions DMS English 01/2025 PDF No
F-11304A Effective for use before 01/01/2026: Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) for Ankylosing Spondylitis Instructions DMS English 01/2025 PDF No
F-01950A Effective for use before 01/01/2026: Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) for Crohn’s Disease and Ulcerative Colitis Instructions DMS English 01/2025 PDF No
F-03174 Effective for use before 01/01/2026: Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) for Hidradenitis Suppurativa DMS English 01/2025 Word No
F-03174 Effective for use before 01/01/2026: Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) for Hidradenitis Suppurativa DMS English 01/2025 PDF No
F-03174A Effective for use before 01/01/2026: Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) for Hidradenitis Suppurativa Instructions DMS English 01/2025 PDF No
F-11306 Effective for use before 01/01/2026: Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) for Psoriasis DMS English 01/2025 Word No
F-11306 Effective for use before 01/01/2026: Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) for Psoriasis DMS English 01/2025 PDF No
F-11306A Effective for use before 01/01/2026: Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) for Psoriasis Instructions DMS English 01/2025 PDF No
F-01951 Effective for use before 01/01/2026: Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) for Rheumatoid Arthritis (RA), Juvenile Idiopathic Arthritis (JIA), and Psoriatic Arthritis DMS English 01/2025 PDF No
F-01951 Effective for use before 01/01/2026: Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) for Rheumatoid Arthritis (RA), Juvenile Idiopathic Arthritis (JIA), and Psoriatic Arthritis DMS English 01/2025 Word No
F-01951A Effective for use before 01/01/2026: Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) for Rheumatoid Arthritis (RA), Juvenile Idiopathic Arthritis (JIA), and Psoriatic Arthritis Instructions DMS English 01/2025 PDF No
F-03224 Effective for use before 01/01/2026: Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) for Uveitis DMS English 01/2025 Word No
F-03224 Effective for use before 01/01/2026: Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) for Uveitis DMS English 01/2025 PDF No
F-03224A Effective for use before 01/01/2026: Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) for Uveitis Instructions DMS English 01/2025 PDF No
F-00079 Effective for use before 07/01/2019: Prior Authorization/Preferred Drug List (PA/PDL) for Armodafinil and Modafinil DMS English 01/2019 PDF No
F-00079A Effective for use before 07/01/2019: Prior Authorization/Preferred Drug List (PA/PDL) for Armodafinil and Modafinil Instructions DMS English 01/2019 PDF No
F-01952 Effective for use on and after 01/01/2026: Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) Antagonist Drugs for Giant Cell Arteritis and Non-Radiographic Axial Spondyloarthritis (nr-axSpA) DMS English 12/2025 Word No
F-01952 Effective for use on and after 01/01/2026: Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) Antagonist Drugs for Giant Cell Arteritis and Non-Radiographic Axial Spondyloarthritis (nr-axSpA) DMS English 12/2025 PDF No
F-01952A Effective for use on and after 01/01/2026: Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) Antagonist Drugs for Giant Cell Arteritis and Non-Radiographic Axial Spondyloarthritis (nr-axSpA) Instructions DMS English 12/2025 PDF No
F-03224 Effective for use on and after 01/01/2026: Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) Antagonist Drugs for Oral Ulcers Associated With Behcet’s Disease and Uveitis DMS English 12/2025 Word No
F-03224 Effective for use on and after 01/01/2026: Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) Antagonist Drugs for Oral Ulcers Associated With Behcet’s Disease and Uveitis DMS English 12/2025 PDF No
F-03224A Effective for use on and after 01/01/2026: Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) Antagonist Drugs for Oral Ulcers Associated With Behcet’s Disease and Uveitis Instructions DMS English 12/2025 PDF No
F-11304 Effective for use on and after 01/01/2026: Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) for Ankylosing Spondylitis DMS English 12/2025 Word No
F-11304 Effective for use on and after 01/01/2026: Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) for Ankylosing Spondylitis DMS English 12/2025 PDF No
F-11304A Effective for use on and after 01/01/2026: Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) for Ankylosing Spondylitis Instructions DMS English 12/2025 PDF No
F-01950 Effective for use on and after 01/01/2026: Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) for Crohn’s Disease and Ulcerative Colitis DMS English 12/2025 Word No
F-01950 Effective for use on and after 01/01/2026: Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) for Crohn’s Disease and Ulcerative Colitis DMS English 12/2025 PDF No
F-01950A Effective for use on and after 01/01/2026: Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) for Crohn’s Disease and Ulcerative Colitis Instructions DMS English 12/2025 PDF No
F-03174 Effective for use on and after 01/01/2026: Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) for Hidradenitis Suppurativa DMS English 12/2025 Word No
F-03174 Effective for use on and after 01/01/2026: Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) for Hidradenitis Suppurativa DMS English 12/2025 PDF No
F-03174A Effective for use on and after 01/01/2026: Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) for Hidradenitis Suppurativa Instructions DMS English 12/2025 PDF No
F-11306 Effective for use on and after 01/01/2026: Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) for Psoriasis DMS English 12/2025 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.

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Last revised October 27, 2025