FORMS, PUBLICATIONS AND POSTERS
There are FREE forms, publications and posters
available. Complete form DMT-25 and send it
to Lois Mulder at:
Division of Enterprise Services
1 West Wilson Street,
Room 672
P.O. Box 7850
Madison, WI 53707-7850
E-mail: muldelj@dhfs.state.wi.us
(608) 266-8502 (voice)
(608) 267-6749 (fax)
Special Note re Group Foster Homes and HFS 57:
In accordance with HFS 57, effective January 1, 2006, residents of
Group Foster Homes have the same client rights as individuals receiving
services for mental illness, developmental disabilities or substance
abuse.
Specific rights materials for Group Foster Homes are being developed.
When they are completed, they will be available through this site. Until
such materials are developed, operators of Group Foster Homes can use the
Client Rights materials available below.
Residents can be informed that they have these rights, even though the
materials may not specifically mention Group Foster Homes. We recommend
using the red poster (PDE-3127) and brochure PDE-195AB. PDE-470 (teen
rights) only applies to teens receiving inpatient mental health treatment,
so it should not be used for Group Foster Homes.
Copies of the following posters are available from Lois
Mulder (see top):
Copies of the following Administrative Rules are also
available online via Wisconsin
Administrative Codes, Department of Health and Family Services.
(exit DHFS)
HFS 92, Confidentiality of Treatment Records (PDE-379)
(exit DHFS; PDF)
HFS 94, Patient Rights
(exit DHFS; PDF) is no longer available
from our office but can be accessed online.
Brochure PDE-195AB: Client Rights and the Grievance
Procedure for In-Patient and Residential Services (PDF, 24 KB)
- Note this is prepared as an 8-1/2 x 14" document, you will
need to adjust printer settings accordingly.
Brochure PDE-470: State
of Wisconsin Rights of Children and Adolescents in Inpatient Mental Health
Facilities (PDF, 212 KB)
Brochure PDE-142: State of Wisconsin
Client Rights and the Grievance Procedure For the Conditional Release
Program (PDF, 191 KB)
PDE-142A: State of Wisconsin
Client Rights and the Grievance Procedure For the Conditional Release
Program (8-1/2" by 11" paper version) (PDF, 29 KB)
The following brochures are available only via the DHFS
web site. They are no longer available in printed format.
You may, when on
this web site, print the brochures in the HTML format (standard 8½ X 11
page), in English, Spanish or Hmong, by clicking on the corresponding
letters. Feel free to make as many copies as you need.
Note: In regard the two client rights brochures
(PDE-195 and PDE-3112 and their Spanish and Hmong versions):
-
A program may
create a personalized brochure by highlighting and copying the text from
the HTML version of the applicable brochure into one with the program’s
name, logo, or other identifying information (such as the Client Rights
Specialist’s name and contact information).
-
There is no copyright on
these publications. If this is done, all of the text in the
applicable brochure must be included in the information provided to
clients about their rights.
Client Rights and the Grievance Resolution Procedure for In-Patient
or Residential Services
Client Rights and the Grievance Procedure for Community Services
[Outpatient] (PDE-3112)
Also available are:
-
Complaint form for use in state-operated Mental Health Institutes or
Centers for the Developmentally Disabled. (DDE-0009)
-
Brochure for Patient Rights and the Division of Disability and Elder
Services Grievance Resolution Process. (PDE-377)
-
Chapter 980,
Wisconsin Statutes
(exit DHFS; PDF), Patient Rights Exceptions
Supplement (PDE-377A)
-
Rights of Individuals Receiving Services from State Centers for the
Developmentally Disabled Under Federal Law and HFS 94, Wisconsin
Administrative Code. (PDE-330)
PDF: The free Acrobat Reader®
software is needed to view and print portable document format (PDF) files.
Learn more.
Last Updated: May 08, 2008 |
