Department of Health Services

State of Wisconsin

Official Website: http://dhs.wisconsin.gov

The Department of Health Services (DHS) is one of the largest and most diverse state agencies in Wisconsin, with an annual budget of roughly $11.5 billion and more than 6,100 employees. DHS is committed to protecting and promoting the health and safety of the people of Wisconsin, making sure everyone can live their best life.

Forms & Documents

Browse all Department of Health Services government forms

241 - 260 of 1488 forms

Form Title Topics
Children's Long-Term Support (CLTS) Waiver program CY 2014 Capacity Building Funding Application Health Services, DMS, DMS
Children's Long-Term Support (CLTS) Waivers Application Checklist - Step Two Health Services, DMS, DMS
CHILDREN’S LONG-TERM SUPPORT (CLTS) WAIVERS CHANGE REPORT Health Services, DMS, DMS
Children's Long Term Support (CLTS) Waivers Child Information Eligibility Worksheet Health Services, DMS, DMS
Children's Long-Term Support (CLTS) Waivers Eligibility Verification - Step One Health Services, DMS, DMS
Children's Long-Term Support (CLTS) Waivers Recertification Checklist Health Services, DMS, DMS
Children's Long-Term Support Parental Fee Declaration Form - Model Health Services, DMS, DMS
Childrens Long Term Support Reconciliation Packet Health Services, DMS, DMS
Childrens Long Term Support Reconciliation Packet/Instructions Health Services, DMS, DMS
Children's Long Term Support Service Coordination Rate Worksheet Health Services, DMS, DMS
Children's Physical Activity Chart Health Services, DPH, DPH
CIP II Community Relocation Initiative 30-day / 90-day Questionnaire Health Services, DMS, DMS
CIP II Nursing Home Diversion Request Coversheet Health Services, DMS, DMS
Civil Money Penality (CMP) Funded Project Report Health Services, DQA, DQA
Civil Money Penalty Funds Project Proposal Health Services, DQA, DQA
Civil Rights Complaint Health Services, DES, DES
Civil Rights Complaint Consent / Release Health Services, DES, DES
Claim Form Attachment Cover Page Health Services, DMS, DMS
Claim Refund Health Services, DMS, DMS
Claim Refund Completion Instructions Health Services, DMS, DMS

Contact Information & Office Locations

1 contact point

Headquarters

Address:
1 West Wilson Street
Madison, WI 53703

Phone numbers:
  • (608) 266-1865 (main line)
  • (800) 947-3529 (or 711 TTY)

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