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

601 - 620 of 1488 forms

Form Title Topics
Hepatitis A Worksheet Confirmed and Suspected Cases Health Services, DPH, DPH
HIPAA Privacy Access Request Health Services, DMS, DMS
HIPAA Privacy Accounting Request Health Services, DMS, DMS
HIPAA Privacy Alternate Communication Request Health Services, DMS, DMS
HIPAA Privacy Amendment Request Health Services, DMS, DMS
HIPAA Privacy Authorization for Use or Disclosure Health Services, DMS, DMS
HIPAA Privacy Complaint Health Services, DMS, DMS
HIPAA Privacy Revocation of Authorization Health Services, DMS, DMS
Histoplasmosis Case Worksheet Health Services, DPH, DPH
Historical Earnings Verification Request Health Services, DMS, DMS
Home and Community-Based Services (HCBS) Compliance Review Request Health Services, DQA, DQA
Home and Community-Based Settings - Adult Residential Provider Assessment Health Services, DMS, DMS
Home Health Agency ACCS Initial Application / Pre-licensure Desk Review Checklist Health Services, DQA, DQA
Home Health Agency Complaint Report Health Services, DQA, DQA
Home Health Agency (HHA) Patient Rights Statement Review Health Services, DQA, DQA
Home Health Agency Initial Licensure Checklist Health Services, DQA, DQA
Home Health Agency Personnel Record Review Health Services, DQA, DQA
Home Modification Request for a Ramp Health Services, DMS, DMS
Hospice Clinical Record Review Health Services, DQA, DQA
Hospice Complaint Report Health Services, DQA, DQA

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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