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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-01952 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 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 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 Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) for Ankylosing Spondylitis Instructions DMS English 01/2025 PDF No
F-01950A 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 Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) for Hidradenitis Suppurativa DMS English 01/2025 Word No
F-03174 Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) for Hidradenitis Suppurativa DMS English 01/2025 PDF No
F-03174A Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) for Hidradenitis Suppurativa Instructions DMS English 01/2025 PDF No
F-11306 Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) for Psoriasis DMS English 01/2025 Word No
F-11306 Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) for Psoriasis DMS English 01/2025 PDF No
F-11306A Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) for Psoriasis Instructions DMS English 01/2025 PDF No
F-01951 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 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 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 Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) for Uveitis DMS English 01/2025 Word No
F-03224 Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) for Uveitis DMS English 01/2025 PDF No
F-03224A Prior Authorization Drug Attachment for Cytokine and Cell Adhesion Molecule (CAM) for Uveitis Instructions DMS English 01/2025 PDF No
F-02666 Prior Authorization Drug Attachment for Headache Agents, Acute Treatment DMS English 07/2022 PDF No
F-02666 Prior Authorization Drug Attachment for Headache Agents, Acute Treatment DMS English 07/2022 Word No
F-02666A Prior Authorization Drug Attachment for Headache Agents, Acute Treatment Instructions DMS English 07/2022 PDF No
F-02667 Prior Authorization Drug Attachment for Headache Agents, Preventative Treatment DMS English 07/2022 PDF No
F-02667 Prior Authorization Drug Attachment for Headache Agents, Preventative Treatment DMS English 07/2022 Word No
F-02667A Prior Authorization Drug Attachment for Headache Agents, Preventative Treatment Instructions DMS English 07/2022 PDF No
F-01247 Prior Authorization Drug Attachment for Hepatitis C Agents DMS English 07/2020 Word No
F-01247 Prior Authorization Drug Attachment for Hepatitis C Agents DMS English 07/2020 PDF No
F-01247A Prior Authorization Drug Attachment for Hepatitis C Agents Instructions DMS English 07/2020 PDF No
F-01248 Prior Authorization Drug Attachment for Hepatitis C Agents Renewal DMS English 08/2016 PDF No
F-00238 Prior Authorization Drug Attachment for Hypoglycemics, Glucagon-Like Peptide (GLP-1) Agents DMS English 07/2024 PDF No
F-00238 Prior Authorization Drug Attachment for Hypoglycemics, Glucagon-Like Peptide (GLP-1) Agents DMS English 07/2024 Word No
F-00238A Prior Authorization Drug Attachment for Hypoglycemics, Glucagon-Like Peptide (GLP-1) Agents Instructions DMS English 07/2024 PDF No
F-01749 Prior Authorization Drug Attachment for Hypoglycemics, Insulins Long-Acting DMS English 07/2024 Word No
F-01749 Prior Authorization Drug Attachment for Hypoglycemics, Insulins Long-Acting DMS English 07/2024 PDF No
F-01749A Prior Authorization Drug Attachment for Hypoglycemics, Insulins Long-Acting Instructions DMS English 07/2024 PDF No
F-00162 Prior Authorization Drug Attachment for Lipotropics, Omega-3 Acids DMS English 07/2024 Word No
F-00162 Prior Authorization Drug Attachment for Lipotropics, Omega-3 Acids DMS English 07/2024 PDF No
F-00162A Prior Authorization Drug Attachment for Lipotropics, Omega-3 Acids Instructions DMS English 07/2024 PDF No
F-02505 Prior Authorization Drug Attachment for Lipotropics, Proprotein Convertase Subtilisin/Kexin Type 9 (PCSK9) Inhibitors DMS English 07/2024 Word No
F-02505 Prior Authorization Drug Attachment for Lipotropics, Proprotein Convertase Subtilisin/Kexin Type 9 (PCSK9) Inhibitors DMS English 07/2024 PDF No
F-02505A Prior Authorization Drug Attachment for Lipotropics, Proprotein Convertase Subtilisin/Kexin Type 9 (PCSK9) Inhibitors Instructions DMS English 07/2024 PDF No
F-02371 Prior Authorization Drug Attachment for Migraine Agents, Calcitonin Gene-Related Peptide (CGRP) Antagonists DMS English 07/2019 PDF No
F-02371A Prior Authorization Drug Attachment for Migraine Agents, Calcitonin Gene-Related Peptide (CGRP) Antagonists Instructions DMS English 07/2019 PDF No
F-00079 Prior Authorization Drug Attachment for Modafinil and Nuvigil DMS English 01/2018 PDF No
F-00079 Prior Authorization Drug Attachment for Modafinil and Nuvigil DMS English 07/2018 PDF No
F-00079A Prior Authorization Drug Attachment for Modafinil and Nuvigil Instructions DMS English 01/2018 PDF No
F-00079A Prior Authorization Drug Attachment for Modafinil and Nuvigil Instructions DMS English 07/2018 PDF No
F-00079 Prior Authorization Drug Attachment for Modafinil and Nuvigil® DMS English 01/2017 PDF No
F-00805 Prior Authorization Drug Attachment for Multiple Sclerosis (MS) Agents DMS English 07/2023 PDF No
F-00805 Prior Authorization Drug Attachment for Multiple Sclerosis (MS) Agents DMS English 07/2023 Word No
F-00805A Prior Authorization Drug Attachment for Multiple Sclerosis (MS) Agents, Instructions DMS English 07/2023 PDF No
F-03175 Prior Authorization Drug Attachment for Multiple Sclerosis (MS) Agents, Interferons DMS English 07/2023 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