DEPARTMENT OF HEALTH AND FAMILY SERVICES Division of Public Health DPH 4544 (Rev. 10/03)
STATE OF WISCONSIN s. 252.15 (2) 608 267-5287
CONSENT FOR CONFIDENTIAL HIV TESTING
This form has been renumbered and revised. Please update your link with the following:
http://dhs.wisconsin.gov/forms/F4/F44544.pdf