National Core Indicators Project in Wisconsin: In-Person Survey Documents

Below are documents mailed to adults with intellectual or developmental disabilities who receive state services and were randomly selected to participate in the National Core Indicators In-Person Survey (NCI-IPS). Note: Multiple mailings occur throughout the year. Therefore, the date on your letter may different than the letter on this webpage.


Documents

NCI-IPS Pre-Notification Letter

National Core Indicator In-Person Survey Pre-Notification letter

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NCI-IPS Consumer Consent Form

National Core Indicator Survey Consent Form

View or Download


NCI-IPS Pre-Notification Letter–Spanish

IPS letter of notification in Spanish

View or Download

NCI-IPS Consumer Consent Form–Spanish

NCI IPS AD Consent form in Spanish

View or Download


The Wisconsin Department of Health Services (DHS) is currently conducting the National Core Indicators In-Person Survey (NCI-IPS) for adults with intellectual or developmental disabilities. This survey is part of a nationwide project called National Core Indicators. DHS is doing the survey to learn more about how to help people in Wisconsin who are getting long-term care. The survey information will be used to improve services and better understand people’s needs.

Last Revised: January 20, 2021