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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-01258S IRIS Self-Directed Personal Care (SDPC) Disclosure Statement, Spanish DMS Spanish 06/2019 Word No
F-01319D IRIS Self-Directed Personal Care (SDPC) Involuntary Disenrollment Request DMS English 02/2017 Word No
F-01578A IRIS SharePoint - Request for User Setup DMS English 06/2024 Word No
F-03342 IV Ketamine Infusion Therapy Attestation DMS English 01/2025 Word No
F-03342 IV Ketamine Infusion Therapy Attestation DMS English 01/2025 PDF No
F-00989M Justification for Services Provided in Locations Other than Natural Environments (IFSP) DMS English 02/2017 Word No
F-00989MS Justification for Services Provided in Locations Other than Natural Environments (IFSP), Spanish DMS Spanish 02/2017 Word No
F-03102 Katie Beckett Disability Evaluation Form DMS English 11/2022 Word No
F-03102 Katie Beckett Disability Evaluation Form DMS English 11/2022 PDF No
F-03144 Katie Beckett Medicaid Disability Redetermination: Provider Information DMS English 09/2024 Word No
F-03144H Katie Beckett Medicaid Disability Redetermination: Provider Information, Hmong DMS Hmong 09/2024 Word No
F-03144S Katie Beckett Medicaid Disability Redetermination: Provider Information, Spanish DMS Spanish 09/2024 Word No
F-03096 Katie Beckett Release of Information DMS English 05/2023 Word No
F-03096 Katie Beckett Release of Information DMS English 05/2023 PDF No
F-03096AH Katie Beckett Release of Information Instructions, Hmong DMS Hmong 02/2023 PDF No
F-03096AS Katie Beckett Release of Information Instructions, Spanish DMS Spanish 02/2023 PDF No
F-03096H Katie Beckett Release of Information, Hmong DMS Hmong 05/2023 PDF No
F-03096H Katie Beckett Release of Information, Hmong DMS Hmong 05/2023 Word No
F-03096A Katie Beckett Release of Information, Instructions DMS English 02/2023 PDF No
F-03096J Katie Beckett Release of Information, Japanese DMS Japanese 05/2023 PDF No
F-03096J Katie Beckett Release of Information, Japanese DMS Japanese 05/2023 Word No
F-03096KA Katie Beckett Release of Information, Karen DMS Karen 05/2023 PDF No
F-03096KA Katie Beckett Release of Information, Karen DMS Karen 05/2023 Word No
F-03096S Katie Beckett Release of Information, Spanish DMS Spanish 05/2023 PDF No
F-03096S Katie Beckett Release of Information, Spanish DMS Spanish 05/2023 Word No
F-03096B Katie Beckett Release of Information: Clinic Specific DMS English 05/2023 Word No
F-03096B Katie Beckett Release of Information: Clinic Specific DMS English 05/2023 PDF No
F-03096BH Katie Beckett Release of Information: Clinic Specific, Hmong DMS Hmong 05/2023 PDF No
F-03096BH Katie Beckett Release of Information: Clinic Specific, Hmong DMS Hmong 05/2023 Word No
F-03096BS Katie Beckett Release of Information: Clinic Specific, Spanish DMS Spanish 05/2023 PDF No
F-03096BS Katie Beckett Release of Information: Clinic Specific, Spanish DMS Spanish 05/2023 Word No
F-62501 Laboratory Application to Perform Alcohol, Controlled Substance, and Controlled Substance Analog Testing DQA English 07/2016 Word No
F-62501 Laboratory Application to Perform Alcohol, Controlled Substance, and Controlled Substance Analog Testing DQA English 07/2016 PDF No
F-02265 Latent Tuberculosis Infection (LTBI) Confidential Case Report DPH English 05/2019 PDF No
F-44125 Latent Tuberculosis Infection (LTBI) Follow-Up Report DPH English 01/2019 PDF No
F-44012 Lead Abatement Notification DPH English 01/2024 PDF No
F-01313 Lead Certification Exam Reschedule Registration DPH English 04/2024 Word No
F-00171 Lead Company Certification Application DPH English 07/2021 PDF No
F-00171S Lead Company Certification Application, Spanish DPH Spanish 07/2021 PDF No
F-02346A Lead Course Accreditation - Renewal Application DPH English 08/2024 PDF No
F-03281 Lead Course Registration Plan DPH English 05/2024 Word No
F-03281D Lead Course Test Policy and Score Report DPH English 05/2024 Word No
F-44063 Lead Principal Instructor Application DPH English 04/2025 Word No
F-44063S Lead Principal Instructor Application, Spanish DPH Spanish 04/2025 Word No
F-03281B Lead Quality Control Plan DPH English 05/2024 Word No
F-03281A Lead Recordkeeping Description DPH English 05/2024 Word No
F-01320 Lead Test Kit Documentation DPH English 08/2014 Word Yes
F-44062 Lead Training Manager Application DPH English 07/2021 PDF No
F-03281C Lead Training Resource Description DPH English 05/2024 Word No
F-44013 Lead-Based Paint (LBP) Investigation Summary Report DPH English 07/2024 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 December 4, 2024