Regional CCS Forms

As part of our regional shared services, the CWHP has developed several regional CCS forms.  

Please Note: several of the forms have been updated based on feedback from service facilitators.  They are considered in draft form and it is up to each county whether to adopt some or all of the draft updated forms.

​The forms below are in "locked" status, allowing for the use to tab through and complete the "fillable" fields.  Click on the link that follows for the "unlocked" editable versions of the forms: Unlocked Forms.
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  • CCS Consumer Handbook (updated 11/16/18) - a resource for Consumers who are referred to CCS. The document can be used "as is" or can be customized to the individual county's CCS program.
  • CCS Provider Orientation Packet / Provider Handbook (updated 1-28-19). This packet contains information needed to become a provider of Comprehensive Community Services (CCS) in counties that are part of the Central Wisconsin Health Partnership (CWHP).
                -  Life Satisfaction Scale - optional
            -  Assessment Addendum - optional
            Additional Resources:
            -  Evidence-Based AODA Screen Tools
​            -  Medicaid Mental Health and Substance Abuse Documentation Requirements              - Recovery Plan Addendum - optional
Additional Optional Tools

Please contact Lori Martin, Regional CCS Coordinator, for more information: 715-258-0877, or email: lori.martin@cwhpartnership.org