Instructions for Form F-00916 Program Provider File Update Request - Wisconsin AIDS Drug Assistance Program / Wisconsin Chronic Disease Program / Wisconsin Well Woman Program - Wisconsin

Form F-00916 Provider File Update Request - Wisconsin AIDS Drug Assistance Program/Wisconsin Chronic Disease Program/Wisconsin Well Woman Program - Wisconsin

This document contains official instructions for Form F-00916 , Program Provider File Chronic Disease Program/Wisconsin Well Woman Program - a form released and collected by the Wisconsin Department of Health Services. An up-to-date fillable Form F-00916 is available for download through this link.

FAQ

Q: What is Form F-00916?
A: Form F-00916 is a Program Provider File Update Request.

Q: What programs does Form F-00916 apply to?
A: Form F-00916 applies to the Wisconsin AIDS Drug Assistance Program, Wisconsin Chronic Disease Program, and Wisconsin Well Woman Program.

Q: What is the purpose of Form F-00916?
A: The purpose of Form F-00916 is to request updates to the Program Provider File for the specified programs.

Q: Who should use Form F-00916?
A: Program providers for the Wisconsin AIDS Drug Assistance Program, Wisconsin Chronic Disease Program, and Wisconsin Well Woman Program should use Form F-00916.

Q: Are there any fees associated with Form F-00916?
A: No, there are no fees associated with Form F-00916.

Q: How should Form F-00916 be submitted?
A: Form F-00916 should be submitted by mail or fax to the contact information provided on the form.

Q: Are there any additional documents required with Form F-00916?
A: No, additional documents are not required with Form F-00916.

Q: How long does it take to process Form F-00916?
A: The processing time for Form F-00916 varies and can take several weeks.

Q: Who can I contact for more information about Form F-00916?
A: For more information about Form F-00916, you can contact the Wisconsin Department of Health Services.