The following Wraparound Milwaukee Provider Network related documents and forms are available for download. If you have questions about a form, call (414) 257-7565.
Application on to Add New Service(s) – Existing Providers Only
Independent Contractor Agreement
(Attach a copy of the signed agreement to the Add Provider Form)
Provider Expertise-Interest Declaration Form (In Process)
(Used to identify or update provider areas of expertise, interests & language proficiencies)
Referral for Services Form
(Used by Care Coordinators for referrals for recipients other than an enrolled youth)