Skip to content
LitigationForms
FA-608

Family Medical History Questionnaire

Wisconsin · Wisconsin Court System · Effective November 21, 2019

This form asks a parent without legal custody to record known medical conditions and health history for a child. The goal is to provide future doctors with information to help diagnose and treat the child if needed.

The court describes it as: Medical history completed by child's noncustodial parent and transmitted to child's physician in case of future medical needs concerning the child. Mandatory form.

Open the official PDFfrom Wisconsin Court System

Where this fits in a case

General & info

Information / general use — not tied to one step of a case

This form is used when a parent without legal custody needs to provide a medical history questionnaire concerning a child to the child's physician.

Usually filed by the person responding.

Official instructions

How-to guides published by the court for this form.

Common questions

Who must complete this form?
The parent who does not have legal custody must complete this medical history questionnaire.
What is the purpose of this form?
The purpose is to record known medical conditions and history that might affect the child, which can help doctors in the future.
Is this form confidential?
Yes, the form states that the physician or health care provider will keep and release the information in a confidential way according to the law.

Revision history

No changes recorded since we started tracking this form on October 10, 2026. The current version took effect November 21, 2019.

Related forms

  • FA-4118V

    Civil Process Worksheet

    This form is a worksheet used to give information to a process server who will deliver legal papers to another person. It asks for details about the person to be served, like their address, job, and other identifying information.

    Word
  • FA-4119V

    Admission of Service

    This form lets a person agree to accept court papers without needing someone else to formally deliver them. It asks the person filling it out to list the court case details and the specific documents they are accepting.

    Word1 translation
  • FA-4133V

    Abridgement Regarding Surname

    This form is used to create a simple record stating that a person is allowed to use a former legal last name. It is a voluntary form that does not require the person to submit their full divorce papers.

    Word
  • FA-4151V

    Marital Settlement Agreement without Minor Children

    This form is used to write down a final agreement between people who are separating or getting divorced. It asks the couple to divide things like property, debts, and support payments.

    Word1 translation
  • FA-5000V

    Service Instruction Packet

    This packet gives instructions on how to legally give notice of a lawsuit or court hearing to another person. It lists different ways to serve papers and the time limits for each method.

  • FA-5001V

    Service by Publication Instructions

    This form provides instructions for using 'Service by Publication,' which is a last resort method for officially notifying someone in a family law case. It outlines the steps needed to prove that the other person could not be found through normal means.

  • FA-4104V

    Summons with Minor Children

    This form is a notice that tells a person they have been sued in court for divorce or legal separation when the couple has minor children. It informs the person that they must file a written response with the court within 20 days of receiving the notice.

    Word1 translation
  • FA-4105V

    Summons without Minor Children

    This form is a notice that tells one person (the respondent) that their spouse has started a legal case for divorce or legal separation. It informs the respondent about the case and what they need to do next.

    Word1 translation