Wisconsin Department of Health Services

Time Elapsed: 0 minutes Time Remaining: 0 minutes Total Time: 0 minutes Anonymous Login Code: Save this code, which is required to update your response at a later time.   Page 1 of 1     Consultant/Management Company List      Welcome to the DQA survey soliciting names to be placed on our DQA Consultant list. Please ensure that you enter information correctly as it will be listed exactly as you have provided it. The list is intended for informational purposes only; DQA does not and will not specifically endorse any particular consultant. The entire list will be provided upon request and posted on the http://dhs.wisconsin.gov/rl_DSL/ConsultantList.pdf web page.       1. Name of Consulting or Management Company*       2. Street or P.O. Box Address *       3. City*       4. State*       5. Zip Code*       6. Phone Number*       7. Email:       8. Contact Name:*       9. Website:       10. Specialty Areas (these will be listed exactly as you list them - e.g. could be provider type [nursing home, home health, assisted living] or care areas [wound care, infection control, mental health].*

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Protecting and promoting the health and safety of the people of Wisconsin
The Official Internet site for the Wisconsin Department of Health Services