HHS Services

• Administrative & Fiscal Services
• Adolescent and Family Services
• Alcohol and other Substance Use 
• Aging Disability Resource Center
• Birth to Three
• Child and Family Services
• Child Protective Services
• Criminal Justice Collaborating Council
• Foster Parents
• Kinship Care
• Information Referral
• Mental Health Services
• Protective Services
• Public Assistance
• Public Health
• Records (Request Records)
• Student Internships
• Veterans
• Volunteer Services
• Youth Services Guide

 Contact Us

Human Services Center

Address:

514 Riverview Avenue,

 

Waukesha WI, 53188

Phone:

(262) 548-7212 

Fax:

(262)-548-7656 

Hours of Operation:

     Monday through Friday

     8:00am to 4:30pm

For information outside of normal hours of operation, call IMPACT 2-1-1 by dialing: 211, or 262-547-3388  or toll free 1-866-211-3380 

Health and Human Services Centralized Records

Our Centralized Records Team is responsible for the management and release of records within Health and Human Services. We work to ensure your client records and health information remain secure and are made available to you in a timely manner. We also respond to public records requests for Health and Human Services.

Our hours of operation are 8:00 a.m., through 4:30 p.m., Monday through Friday, excluding holidays. Our team is available to assist if you have any questions regarding records requests.

How to Request Your Client Records / Health Information 

We will require you to fill out and sign an Authorization for Use & Disclosure of Health or Confidential Information form when:

• You request copies of your personal client records and health information.
• You want to send copies of Health Information to another health care provider for treatment purposes.
• You want to send your Health/Client Information to third-parties.

Copies of our authorization forms are available here or at our offices:

English:

• • Health and Human Services Authorization for Use & Disclosure of Health or Confidential Information (6246-A Rev. 9/2013)
  • ADRC Authorization for Use & Disclosure of Health or Confidential Information (6246-A, Rev. 9/2013)
  • Authorization Form Instructions (6246-D, Rev. 01/28/2022)

Espanol: 

• • Departamento de Salud y Servicios Humanos Autorización Para Divulgar Información Confidencia (6246-A, Rev. 9/2013)
    
  • ADRC Autorización Para Divulgar Información Confidencia (6246-A, Rev. 9/2013)
  • Instrucciones del Formulario de Autorización (6246-D, Rev. 01/28/2022)

If you request that your mental health, substance use disorder, HIV testing, or other human/social services records be released, you must check those specific boxes on the form. 

The authorization form is not valid unless filled out completely.

The completed forms can be mailed, faxed, emailed, or delivered to the following locations:

Picking Up Records

To ensure the security of your client records and health information, a photo ID is required when picking up records at our locations above. You may designate someone on the authorization to pick up records on your behalf, but that indvidiaul must provide a photo ID as well.

If you do not have a photo ID, please let us know ahead of time and we will work with you to ensure we can verify your identity.

Public Records Requests

Requests to inspect or recieve copies of public records for health and human services may be submitted at our Human Services Center above.

How we use and disclose your health information

• Notice of Privacy Practices Regarding Health Information (6243-B, Rev. 5/1/2023)
• Notificación de las Normas de Privacidad Acerca de la Información de Salud  (6243-B, Rev. 5/1/2023)
• Acknowledgement of Receipt of Notice of Privacy Practices Regarding Health Information (6243-A, Rev. 1/25/2022)
• Acuse de Recibo de Aviso de Prácticas de Privacidad Acerca de la Información de Salud  (6243-A, Rev. 1/25/2022)