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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-03398CM PACE and Partnership Supplement, Chinese (Simplified) (DocuSign) DPH Chinese (Simplified) 12/2025 HTML No
F-03398H PACE and Partnership Supplement, Hmong DPH Hmong 12/2025 Word No
F-03398H PACE and Partnership Supplement, Hmong (DocuSign) DPH Hmong 12/2025 HTML No
F-03398L PACE and Partnership Supplement, Laotian DPH Lao 12/2025 Word No
F-03398L PACE and Partnership Supplement, Laotian (DocuSign) DPH Lao 12/2025 HTML No
F-03398R PACE and Partnership Supplement, Russian DPH Russian 12/2025 Word No
F-03398R PACE and Partnership Supplement, Russian (DocuSign) DPH Russian 12/2025 HTML No
F-03398SO PACE and Partnership Supplement, Somali DPH Somali 12/2025 Word No
F-03398SO PACE and Partnership Supplement, Somali (DocuSign) DPH Somali 12/2025 HTML No
F-03398S PACE and Partnership Supplement, Spanish DPH Spanish 12/2025 Word No
F-03398S PACE and Partnership Supplement, Spanish (DocuSign) DPH Spanish 12/2025 HTML No
F-03398UK PACE and Partnership Supplement, Ukrainian DPH Ukrainian 12/2025 Word No
F-03398UK PACE and Partnership Supplement, Ukrainian (DocuSign) DPH Ukrainian 12/2025 HTML No
F-03398V PACE and Partnership Supplement, Vietnamese DPH Vietnamese 12/2025 Word No
F-03398V PACE and Partnership Supplement, Vietnamese (DocuSign) DPH Vietnamese 12/2025 HTML No
F-02331 Paper Version Caregiver Programs Customer Satisfaction Survey DPH English 05/2018 Word No
F-02331S Paper Version Caregiver Programs Customer Satisfaction Survey, Spanish DPH Spanish 05/2018 Word No
F-47463E Paramedic Operational Plan Components DPH English 06/2012 PDF No
F-03404 Participant Determination, Agreement, Rights, and Responsibilities Letter DPH English 09/2025 PDF No
F-03404S Participant Determination, Agreement, Rights, and Responsibilities Letter, Spanish DPH Spanish 09/2025 PDF No
F-01293D Participant Fiscal Employer Agent (FEA) Change Request DMS English 04/2023 Word No
F-02957 Participant Integrity Investigation Wisconsin Women, Infants, and Children (WIC) Program DPH English 02/2022 Word No
F-20985 Participant Rights and Responsibilities Notification DMS English 04/2025 PDF No
F-20985H Participant Rights and Responsibilities Notification, Hmong DMS Hmong 04/2025 PDF No
F-20985KA Participant Rights and Responsibilities Notification, Karen DMS Karen 04/2025 PDF No
F-20985RY Participant Rights and Responsibilities Notification, Rohingya DMS Rohingya 04/2025 PDF No
F-20985SO Participant Rights and Responsibilities Notification, Somali DMS Somali 04/2025 PDF No
F-20985S Participant Rights and Responsibilities Notification, Spanish DMS Spanish 04/2025 PDF No
F-20985V Participant Rights and Responsibilities Notification, Vietnamese DMS Vietnamese 04/2025 PDF No
F-01689 Participant-Hired Worker 40-Hour Health And Safety Assurance Exception Request - IRIS Program DMS English 03/2018 Word No
F-03078 Participation Agreement - Environmental Services DPH English 05/2025 PDF No
F-03078S Participation Agreement - Environmental Services, Spanish DPH Spanish 05/2025 PDF No
F-01406 Participation Agreement - Release of Information DPH English 02/2023 PDF No
F-01406S Participation Agreement - Release of Information, Spanish DPH Spanish 02/2023 PDF No
F-02784 PASRR 30-Day Information Required for PASRR Exemption Letter Request DCTS English 04/2021 PDF No
F-01601D PATH Summary Line Item Budget DCTS English 12/2024 Excel No
F-01805 Patient Rights for Victims of Sexual Assault, Human Trafficking Involving a Commercial Sex Act, or Child Sexual Abuse DQA English 09/2016 PDF No
F-01805S Patient Rights for Victims of Sexual Assault, Human Trafficking Involving a Commercial Sex Act, or Child Sexual Abuse, Spanish DQA Spanish 09/2016 PDF No
F-00703 Patient Side Training Report DPH English 02/2013 PDF No
F-03182 PCA Physician Prescription-Plan of Care DQA English 06/2023 Word No
F-00193 Pediatric Referral / Communication Wisconsin WIC Program DPH English 03/2019 Word No
F-02832 Performance Improvement Project (PIP) IRIS Proposal and Annual Report DMS English 10/2023 Word No
F-03123 Performance Improvement Project (PIP) MCO Proposal and Annual Report DMS English 10/2023 Word No
F-02886 Performance Improvement Project Annual Report Format Guideline DMS English 12/2022 Word No
F-11136 Personal Care Addendum DMS English 10/2008 PDF No
F-11136 Personal Care Addendum DMS English 10/2008 Word No
F-11136A Personal Care Addendum Completion Instructions DMS English 10/2008 PDF No
F-00119 Personal Care Agency Application DQA English 10/2025 Word No
F-00262A Personal Care Agency Certification Application Checklist DQA English 09/2024 Word No
F-00784 Personal Care Agency Client Rights DQA English 08/2016 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