Informed Consent for Medications F-24277 Series: Psychotropic Medications

In Wisconsin, people receiving health care have a right to participate in the planning of their treatment.

Informed consent is the process in which a health care provider educates a patient about the risks, benefits, and alternatives of a treatment. The patient must be competent to make a voluntary decision about the treatment.

Written informed consent is required for the use of psychotropic medications. If written informed consent is not given, the psychotropic medication cannot be administered without a court order unless in an emergency.

For the convenience of health care providers and to comply with requirements listed in Wis. Stat. § 50.08, informed consent forms for many psychotropic medications are provided below in both Adobe PDF (suitable for printing and completing by hand) and Microsoft Word (suitable for completing electronically and printing for signatures).

These forms are reviewed regularly and updated as needed.

Forms listed with a "Blank" medication name are the base form available in English and Spanish versions. Complete a blank form if no prefilled version exists for the prescribed psychotropic medication.

The Client Rights Office accepts questions about these forms and suggestions for improvements.

The list below can be narrowed down by the medication name (brand or generic), file type, and medication category.

Medication brand name Sort descending	Medication generic name	Last revised	Medication category	Language	File type
Medication brand name">Abilify, Abilify Maintena, Abilify MyCite, Aristada, Aristada Initio	aripiprazole	08/2020	Antidepressant, Antipsychotic, Bipolar, Mood stabilizing	English	PDF
Medication brand name">Abilify, Abilify Maintena, Abilify MyCite, Aristada, Aristada Initio	aripiprazole	08/2020	Antidepressant, Antipsychotic, Bipolar, Mood stabilizing	English	Word
Medication brand name">Adderall, Adderall XR	dextroamphetamine and amphetamine	05/2021	Central nervous system stimulant	English	Word
Medication brand name">Adderall, Adderall XR	dextroamphetamine and amphetamine	05/2021	Central nervous system stimulant	English	PDF
Medication brand name">Ambien, Ambien CR	zolpidem	09/2019	Hypnotic, Sedative	English	Word
Medication brand name">Ambien, Ambien CR	zolpidem	09/2019	Hypnotic, Sedative	English	PDF
Medication brand name">Anafranil	clomipramine	10/2021	Antidepressant, tricyclic	English	Word
Medication brand name">Anafranil	clomipramine	10/2021	Antidepressant, tricyclic	English	PDF
Medication brand name">Aricept	donepezil	05/2020	Alzheimer's treatment, Dementia	English	Word
Medication brand name">Aricept	donepezil	05/2020	Alzheimer's treatment, Dementia	English	PDF
Medication brand name">Aristada	aripiprazole lauroxil	08/2018	Antipsychotic	English	Word
Medication brand name">Aristada	aripiprazole lauroxil	08/2018	Antipsychotic	English	PDF
Medication brand name">Artane	trihexyphenidyl	09/2019	Antidyskinetic	English	Word
Medication brand name">Artane	trihexyphenidyl	09/2019	Antidyskinetic	English	PDF
Medication brand name">Atarax	hydroxyzine hydrochloride	08/2022	Antianxiety, Antihistamine, Sedative	English	PDF
Medication brand name">Atarax	hydroxyzine hydrochloride	08/2022	Antianxiety, Antihistamine, Sedative	English	Word
Medication brand name">Ativan	lorazepam	10/2021	Antianxiety, Anticonvulsant, benzodiazepine	English	PDF
Medication brand name">Ativan	lorazepam	11/2017	Antianxiety, Anticonvulsant, benzodiazepine	English	Word
Medication brand name">Aventyl Pamelor	nortriptyline	09/2019	Antidepressant, tricyclic	English	PDF
Medication brand name">Aventyl Pamelor	nortriptyline	09/2019	Antidepressant, tricyclic	English	Word
Medication brand name">Belsomra	suvorexant	08/2018	Hypnotic, Sedative	English	PDF
Medication brand name">Belsomra	suvorexant	08/2018	Hypnotic, Sedative	English	Word
Medication brand name">Benadryl	diphenhydramine hydrochloride	05/2020	Antianxiety, Antihistamine, Sedative	English	PDF
Medication brand name">Benadryl	diphenhydramine hydrochloride	05/2020	Antianxiety, Antihistamine, Sedative	English	Word
Medication brand name">Blank	Blank	05/2024	Not applicable	Spanish	Word
Medication brand name">Blank	Blank	05/2024	Not applicable	English	Word
Medication brand name">Blank	Blank	05/2024	Not applicable	English	PDF
Medication brand name">Blank	Blank	05/2024	Not applicable	Spanish	PDF
Medication brand name">BuSpar	buspirone	10/2021	Antianxiety	English	PDF
Medication brand name">Buspar	buspirone	10/2021	Antianxiety	English	Word
Medication brand name">Caplyta	lumateperone	07/2020	Antipsychotic	English	PDF
Medication brand name">Caplyta	lumateperone	07/2020	Antipsychotic	English	Word
Medication brand name">Catapres	clonidine	05/2020	Alpha adrenergic agonist antihypertensive	English	Word
Medication brand name">Catapres	clonidine	05/2020	Alpha adrenergic agonist antihypertensive	English	PDF
Medication brand name">Celexa	citalopram	10/2021	Antidepressant, SSRI	English	PDF
Medication brand name">Celexa	citalopram	10/2021	Antidepressant, SSRI	English	Word
Medication brand name">Clozaril	clozapine	08/2018	Antipsychotic, Atypical	English	PDF
Medication brand name">Clozaril	clozapine	08/2018	Antipsychotic, Atypical	English	Word
Medication brand name">Cogentin	benztropine	10/2018	Anticholinergic	English	PDF
Medication brand name">Cogentin	benztropine	10/2018	Anticholinergic	English	Word
Medication brand name">Compro	prochlorperazine	09/2019	Antiemetic, Antipsychotic	English	PDF
Medication brand name">Compro	prochlorperazine	09/2019	Antiemetic, Antipsychotic	English	Word
Medication brand name">Corgard	nadolol	10/2018	Beta-adrenergic blocker	English	PDF
Medication brand name">Corgard	nadolol	10/2018	Beta-adrenergic blocker	English	Word
Medication brand name">Cymbalta	duloxetine	10/2019	Antidepressant	English	Word
Medication brand name">Cymbalta	duloxetine	10/2019	Antidepressant	English	PDF
Medication brand name">Dalmane	flurazepam	11/2017	benzodiazepine, Hypnotic, Sedative	English	PDF
Medication brand name">Dalmane	flurazepam	11/2017	benzodiazepine, Hypnotic, Sedative	English	Word
Medication brand name">Daytrana	methylphenidate transdermal	05/2021	Central nervous system stimulant	English	PDF
Medication brand name">Daytrana	methylphenidate transdermal	05/2021	Central nervous system stimulant	English	Word