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Intoxicated Driver Program Directory

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To: State, County, and Local Officials Involved with the Intoxicated Driver Program This directory has been updated in response to requests from county staff working with the Intoxicated Driver Program (IDP). Intoxicated drivers, boaters, snowmobile users, all-terrain vehicle users, and possessors of certain controlled substances (cocaine, heroin, lysergic acid diethylamide, phencyclidine, amphetamine, methamphetamine, psilocin, or psilocybin), may be referred to the correct IDP contact within a Wisconsin county with the use of this directory. Contact the Designated Coordinator regarding information about each county’s programs and policies for assessment and/or treatment services. Contact the assessment facility contact regarding court ordered referrals and reports. Collateral information regarding the referral should be sent to the assessment facility contact. When speaking with an individual needing an assessment, please inform them that they should contact the assessment facility for an appointment FIRST BY PHONE. A non-resident should contact the facility the day of their court appearance. Most assessments take 1-2 hours. Previously this directory was available as a printed document but due to the advantages of the internet the directory will be web-based. This will facilitate fluid updates as the information changes. This directory is available for viewing and printing at:https://www.dhs.wisconsin.gov/idp/directory.htm. Please submit updated staff, contact, and fee information for this directory to the IDP Coordinator whose contact information is listed on the following page. We welcome your comments and suggestions for improvements to this directory. Substance Abuse Services Section

STATE OF WISCONSIN DEPARTMENT OF HEALTH SERVICES Division of Care and Treatment Services Bureau of Prevention Treatment and Recovery P-23049 (07/2018)


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GENERAL INFORMATION Website: http://dhs.wisconsin.gov/idp/ index.htm Intoxicated Driver Program

LeeAnn Mueller, IDP Coordinator Department of Health Services Division of Care and Treatment Services Bureau of Prevention Treatment and Recovery 1 West Wilson Street, Room 850 PO Box 7851 Madison WI 53707-7851 Telephone: (608) 266-2453 Fax: (608) 266-1533 E-Mail: [email protected]

Intoxicated Driver Assessor Training:

Kristi Obmascher University of Wisconsin-Madison Department of Professional Development and Applied Studies 313 Lowell Center 610 Langdon Street Madison WI 53706 Telephone: (608) 262-8971 E-Mail: [email protected]

Submit updated staff, contact, and fee information for this directory to:

LeeAnn Mueller Bureau of Prevention Treatment and Recovery 1 West Wilson Street, Room 850 Madison WI 53703 Telephone: (608) 266-2453 Fax: (608) 266-1533 E-Mail: [email protected]

https://www.dhs.wisconsin.gov/idp/index.htm

mailto:[email protected]




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FORMS

WISCONSIN DEPARTMENT OF TRANSPORTATION MOTOR VEHICLE (MV) FORMS

FORM N0. FORM TITLE PACKAGE SIZE

MV 3631 Driver Safety Plan Final Report 100 per package

MV 3632 Court Order for Intoxicated Driver Assessment & Driver Safety Plan 100 per package

MV 3633 Driver Safety Plan Order 100 per package

MV 3634 Order for Assessment & Driver Safety Plan Report 100 per package

Motor Vehicle (MV) form orders require the form number, form title, quantity needed and your “ship to” address in writing: By Mail: Maps and Publication Sales Wisconsin Department of Transportation 3617 Peirstorff Street P.O. Box 7713 Madison, WI 53707-7713 By Fax: (608) 246-5632


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WISCONSIN DEPARTMENT OF HEALTH SERVICES FORMS FOR INTOXICATED USE OF

MOTORIZED RECREATIONAL VEHICLES

Forms for intoxicated use of motorized recreational vehicles, Including Boats, Snowmobiles, All-Terrain Vehicles, and Possession of Certain Controlled Substances are produced by the Wisconsin Department of Health Services (DHS) and are available from: http://dhs.wisconsin.gov/forms/, for printing and down-load. FORM NUMBER FORM TITLE LANGUAGE F-01336 Wisconsin Assessment of the Impaired Driver (WAID) 100 per package

Only designated assessment facilities may order copies of the WAID:

Complete a F-82025A and email the completed form as an attachment to [email protected].

Do not order more than a 3 to 6 month supply. Order quantity by each, not carton or box.

F-20933 Court Order for Assessment English

F-20933S Orden de la Corte Para Evaluacion Spanish

F-20934 Court Ordered Assessment and Plan Report English

F-20934A Plan Recommendation English

F-20934S Evaluacion Ordenada Por la Corte Y Reporte Del Plan Spanish

F-20934AS Plan de Recommendacion Spanish

F-20935 Status Report to Court for Plan Compliance English

http://dhs.wisconsin.gov/forms/

http://www.dhs.wisconsin.gov/forms/F8/F80025a.doc


http://www.dhs.wisconsin.gov/forms1/f2/f20933.pdf

http://www.dhs.wisconsin.gov/forms1/f2/f20933s.pdf


http://www.dhs.wisconsin.gov/forms1/f2/f20934a.pdf

http://www.dhs.wisconsin.gov/forms1/f2/f20934s.pdf

http://www.dhs.wisconsin.gov/forms1/f2/f20934as.pdf



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Intoxicated Driver Program Contact information by County

ADAMS COUNTY

Designated Coordinator:

Kay Saarinen-Barr Adams County Health and Human Services Department 108 East North Street Friendship WI 53934 Telephone: (608) 339-4505 Fax: (608) 339-4593 [email protected]

Assessment Facility Contact:

Kay Saarinen-Barr Adams County Health and Human Services Department 108 East North Street Friendship WI 53934 Telephone: (608) 339-4511 Fax: (608) 339-4593 [email protected] Assessment Charge: $245.00 Assessment Fee $50.00 Reinstatement Fee


mailto:


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ASHLAND COUNTY Designated Coordinator: Laura Compton Ashland County Health and Human Services Department 630 Sanborn Avenue Ashland WI 54806 Telephone: (715) 682-7004 Ext. 138 Fax: (715) 682-7924 [email protected] Assessment Facility Contact: Brenda Goettl, AODA Clinical Director NorthLakes Community Clinic 502 West Main Street, Suite 305 Ashland WI 54806 Telephone: (715) 685-2200 Fax: (715) 685-1185 [email protected] Assessment Charge: $200.00 Assessment Fee $100.00 Rescheduling Fee $50.00 Reinstatement Fee $50.00 Amend Driver Safety Plan / Extend Driver Safety Plan



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Bad River Band of Lake Superior Chippewa Tribe This assessment agency is available only to tribal members and their families

Designated Coordinator: Laura Moore Bad River AODA Program 53585 Nokomis Road Ashland, WI 54806 Telephone: (715) 682-7133 ext. 4337 [email protected] Assessment Facility Contact: Laura Moore Bad River AODA Program 53585 Nokomis Road Ashland, WI 54806 Telephone: (715) 682-7133 ext. 4337 [email protected] Assessment Charge: $175 Assessment Fee




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BARRON COUNTY Designated Coordinator: Dave Hensley Barron County Department of Health and Human Services 335 E. Monroe Avenue Barron WI 54812 Telephone: (715) 537-6330 Fax: (715) 537-6363 [email protected] Assessment Facility Contact: Arlene Eslinger Community Counseling Services 16947 County Hwy X Chippewa Falls WI 54729 Telephone: (715) 723-1221 Fax: (715) 738-1214 [email protected] Assessment Charge: $225.00 Assessment Fee $100.00 Failed Appointment




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BAYFIELD COUNTY Designated Coordinator: Crystal Clark-Gregoire, AODA / MH Coordinator Bayfield County Department of Human Services P.O. Box 100 Washburn WI 54891-0100 Telephone: (715) 373-6144 x129 Fax: (715) 373-6130 [email protected] Assessment Facility Contact: Brenda Goettl, AODA Clinical Director NorthLakes Community Clinic 502 West Main Street, Suite 305 Ashland WI 54806 Telephone: (715) 685-2200 Fax: (715) 685-1185 [email protected] Assessment Charge: $200.00 Assessment Fee $100.00 No show/Rescheduling Fee $50.00 Reinstatement Fee $50.00 Amend Driver Safety Plan / Extend Driver Safety Plan



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BROWN COUNTY


Barbara Jordan, Behavioral Health Supervisor Brown County Community Treatment Center 3150 Gershwin Drive Green Bay WI 54311 Telephone: (920) 391-6945 Fax: (920) 391-4822 [email protected] Assessment Facility Contact: Bobbi Sturke Brown County Community Treatment Center 3150 Gershwin Drive Green Bay WI 54311 Telephone: (920) 391-4720 (to schedule an IDP assessment) Fax: (920) 391-4822 [email protected] Assessment Charge: $275.00 Assessment Fee $100.00 Failed Appointment $100.00 Reschedule Fee if less than 24 hour notice $50.00 Amend Driver Safety Plan




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BUFFALO COUNTY


Dave Rynders Community Justice Services (CJS) 407 South 2nd St Alma WI 54610 Telephone: (608) 685-6304 Fax: (608) 685-3342 [email protected] Assessment Facility Contact: Nicole Borreson West Central Behavioral Health 23062 Whitehall Road Independence WI 54747 Telephone: (866) 805-0304 Fax: (715) 985-3029 [email protected] Assessment Charge: $200.00 Assessment Fee (paid at any time) $180.00 Assessment Fee if paid within first 2 week

mailto:@co.buffalo.wi.us



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BURNETT COUNTY Designated Coordinator: Byron Hopke Burnett County Department Health and Human Services 7410 County Road K, Suite 280 Siren WI 54872-9043 Telephone: (715) 349-7600 Fax: (715) 349-2140 [email protected] Assessment Facility Contact: Wendy Prigge Aurora Community Counseling (ACC), Inc. 24248 State Road 35/70, Unit D Siren WI 54872 Telephone: (715) 349-7233 Fax: (715) 349-7205 [email protected] Assessment Charge: $260.00 Assessment Fee $260.00 Fail Appointment $133.25 Extension of Driver Safety Plan $133.25 Reinstatement of Drivers Safety Plan from non-compliance to compliance




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CALUMET COUNTY Designated Coordinator: Kristi LeClair Calumet County Department of Human Services Courthouse, 206 Court Street Chilton WI 53014 Telephone: (920) 849-1400 Fax: (920) 849-1468 [email protected] Assessment Facility Contact: Tammy Frassetto Calumet County Department of Human Services Courthouse, 206 Court Street Chilton WI 53014 Telephone: (920) 849-1400 ext. 387 Fax: (920) 849-1468 [email protected] Assessment Charge: $240.00 Assessment Fee $120.00 Failed Appointment $50.00 DSP Amendment




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CHIPPEWA COUNTY Designated Coordinator: Tim Easker Chippewa County Department of Human Services 711 North Bridge Street, Room 122 Chippewa Falls WI 54729-1876 Telephone: (715) 726-7788 Fax: (715) 726-4560 [email protected] Assessment Facility Contact: Arlene Eslinger Community Counseling Services 16947 County Hwy X Chippewa Falls WI 54729 Telephone: (715) 723-1221 Fax: (715) 738-1214 [email protected] Assessment Charge: $225.00 Assessment Fee $100.00 Failed Appointment



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CLARK COUNTY Designated Coordinator: Russell Girard Clark County Community Services 517 Court Street, Room 503 Neillsville WI 54456 Telephone: (715) 743-5204 Fax: (715) 743-5209 [email protected] Assessment Facility Contact: Jeanine Voigt Clark County Community Services 517 Court Street, Room 503 Neillsville WI 54456 Telephone: (715) 743-5204 Fax: (715) 743-5209 [email protected] Assessment Charge: $300.00 Assessment Fee $70.00 Non-Compliance Fee $110.00 No-show/Reschedule fee $70.00 Amendment/Extension fee




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COLUMBIA COUNTY Designated Coordinator: Dr. Thomas Hayes Pauquette Center 2901 Hunters Trail P.O. Box 301 Portage WI 53901 Telephone: (608) 742-5518 Fax: (608) 742-4087 [email protected] Assessment Facility Contact: Sheila Starr Pauquette Center 2901 Hunters Trail P.O. Box 301 Portage WI 53901 Telephone: (608) 742-5518 Fax: (608) 742-4087 [email protected] Assessment Charge: $275.00 Assessment Fee $50.00 Extend Driver Safety Plan $25.00 Amend Driver Safety Plan




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CRAWFORD COUNTY Designated Coordinator: Dan McWilliams, Director Crawford County Human Services Department 225 North Beaumont Road, Suite 326 Prairie du Chien WI 53821 Telephone: (608) 326-0248 Fax: (608) 326-4395 [email protected] Assessment Facility Contact: Linda Frederick Mayo Clinic Health Systems 800 E. Blackhawk Avenue Prairie du Chien WI 53821 Telephone: (608) 326-0808 Fax: (608) 326-0810 Assessment Charge: $366.00 OWI Assessment $224.00 Underage assessment and education



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DANE COUNTY Designated Coordinator: Margie Duncan Journey Mental Health Center Clinical Assessment Unit 25 Kessel Court, Second Floor Madison WI 53711 Telephone: (608) 280-2630 Fax: (608) 280-2655 [email protected] Assessment Facility Contact: Margie Duncan Journey Mental Health Center Clinical Assessment Unit 25 Kessel Court, Second Floor Madison WI 53711 Telephone: (608) 280-2630 Fax: (608) 280-2655 [email protected] Assessment Charge: $300.00 Assessment Fee $50.00 Extension of Driver Safety Plan $75.00 Reinstatement Fee $50.00 Failed Appointment


mailto:@journeymhc.org


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DODGE COUNTY Designated Coordinator: Sara Gaska Dodge County Human Services and Health Department 199 County Road DF Juneau WI 53039 Telephone: (920) 386-4094 Fax: (920) 386-3812 [email protected] Assessment Facility Contact: David Overshiner, BS, CSAC Dodge County Human Services and Health Department 199 County Road DR, 3rd floor Juneau, WI 53039 Telephone: 920-386-3495 Assessment Charge: $250.00 Assessment Fee



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DOOR COUNTY Designated Coordinator: Jay Livingston Door County Department of Human Services 421 Nebraska Street Sturgeon Bay WI 54235 Telephone: (920) 746-7155 Fax: (920) 746-2439 [email protected] Assessment Facility Contact: Tim Hickey Door County Department of Human Services 421 Nebraska Street Sturgeon Bay WI 54235 Telephone: (920) 746-7155 Fax: (920) 746-2439 [email protected] Assessment Charge: $225.00 Assessment Fee




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DOUGLAS COUNTY Designated Coordinator: Dave Longsdorf Douglas County Department of Health and Human Services 1316 North 14th Street, Suite 400 Superior WI 54880 Telephone: (715) 395-1304 Fax: (715) 395-1265 [email protected] Assessment Facility Contact: Dave Longsdorf Douglas County Department of Health and Human Services 1316 North 14th Street, Suite 400 Superior WI 54880 Telephone: (715) 395-1304 Fax: (715) 395-1265 [email protected] Assessment Charge: $275.00 Assessment Fee $50.00 Failed or rescheduled Appointment fee $50.00 Amend or Extend Driver Safety Plan $50.00 Out-of-State Transfer Fee




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DUNN COUNTY Designated Coordinator: Kris Korpela Dunn County Department of Human Services 808 Main Street P.O. Box 470 Menomonie WI 54751 Telephone: (715) 231-2704 Fax: (715) 232-5987 [email protected] Assessment Facility Contact: Jill Gamez Arbor Place 320 21st Street NE Menomonie WI 54751 Telephone: (715) 235-4537 Fax: (715) 235-4535 Assessment Charge: $230.00 OWI Assessment Fee $230.00 Failed Appointment $115.00 Late Cancellation



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EAU CLAIRE COUNTY Designated Coordinator: Craig Olson Eau Claire County Department of Human Services 721 Oxford Avenue Eau Claire WI 54703 Telephone: (715) 839-1245 Fax: (715) 831-5784 [email protected] Assessment Facility Contact: Ann Feller Eau Claire Community Program 101 North Farwell Street, Suite 204 Eau Claire WI 54703 Telephone: (715) 514-4600 [email protected] Online application: www.eauclairecommunityprogram.com Assessment Charge: $265.00 Assessment Fee $65.00 Final Follow-Up Fee $65.00 No Show Fee $65.00 Late Cancellation Fee



http://www.eauclairecommunityprogram.com/


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FLORENCE COUNTY Designated Coordinator: Janet Nanninga Florence County Human Services Department Courthouse P.O. Box 225 Florence WI 54121 Telephone: (715) 528-3477 Fax: (715) 528-3341 [email protected] Assessment Facility Contact: Kristina Williams Florence County Human Services Department Courthouse P.O. Box 225 Florence WI 54121 Telephone: (715) 528-3477 Fax: (715) 528-3341 [email protected] Assessment Charge: $225.00 Assessment Fee




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FOND DU LAC COUNTY Designated Coordinator: Lynn Klapperich Fond du Lac County Department of Community Programs 459 East First Street Fond du Lac WI 54935 Telephone: (920) 929-3500 Fax: (920) 929-3129 [email protected] Assessment Facility Contact: Barbara Higgins Fond du Lac County Department of Community Programs 459 East First Street Fond du Lac WI 54935 Telephone: (920) 929-3565 Fax: (920) 929-3129 [email protected] Assessment Charge: $260.00 Assessment Fee $125.00 Failed Appointment




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FOREST COUNTY Designated Coordinator: Donna M. Shimeck, MA, LCSW The Human Service Center Forest / Oneida / Vilas County 705 East Timber Drive P.O. Box 897 Rhinelander WI 54501-0897 Telephone: (715) 369-2215 x1256 Fax: (715) 369-2214 [email protected] Assessment Facility Contact: Jodi Baker, SAC, IDP-AT The Human Service Center Forest / Oneida / Vilas County 705 East Timber Drive P.O. Box 897 Rhinelander WI 54501-0897 Telephone: (715) 369-2215 x1229 Fax: (715) 369-2214 [email protected] Assessment Charge: $250.00 Assessment Fee $100.00 Failed Appointment/Late Cancelation $50.00 Amendment




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GRANT COUNTY Designated Coordinator: Diana Kroeber, AODA Supervisor Unified Community Services 200 West Alona Lane Lancaster WI 53813 Telephone: (608) 723-6357 Fax: (608) 723-4417 [email protected] Assessment Facility Contact: Diana Kroeber, AODA Supervisor Unified Community Services 200 West Alona Lane Lancaster WI 53813 Telephone: (608) 723-6357 Fax: (608) 723-4417 [email protected] Assessment Charge: $350.00 Assessment Fee $150.00 IDP Failed Appointment $25.00 Other Failed Appointment




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GREEN COUNTY Designated Coordinator: Bob Gibson Green County Human Services N3152 State Hwy 81 Monroe WI 53566 Telephone: (608) 328-9352 (AODA Office) Fax: (608) 328-9480 [email protected] Assessment Facility Contact: Julie Schwartzlow Green County Human Services N3152 State Hwy 81 Monroe WI 53566 Telephone: (608) 328-9352 Fax: (608) 328-9480 [email protected] Assessment Charge: $250.00-$300.00 IDP Fee $50.00 No show Fee $92.00/hour Additional appointments to change/extend driver safety plan, etc.




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GREEN LAKE COUNTY Designated Coordinator: Nichol Grathen, Clinical Services Manager Green Lake County Department of Health and Human Services 571 County Road A P.O. Box 588 Green Lake WI 54941 Telephone: (920) 294-4070 Telephone: (800) 664-3588 Fax: (920) 294-4139 [email protected] Assessment Facility Contact: Paul Vander Sande, Clinical Services Manager Green Lake County Department of Health and Human Services 571 County Road A P.O. Box 588 Green Lake WI 54941 Telephone: (920) 294-4070 Telephone: (800) 664-3588 Fax: (920) 294-4139 [email protected] Assessment Charge: $275.00 Assessment Fee $65.00 Amend Driver Safety Plan No Show / Forfeit Fees




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IOWA COUNTY Designated Coordinator: Diana Kroeber, AODA Supervisor Unified Community Services 1122 Professional Drive Dodgeville WI 53533 Telephone: (608) 935-2776 Fax: (608) 935-3174 [email protected] Assessment Facility Contact: Diana Kroeber, AODA Supervisor Unified Community Services 1122 Professional Drive Dodgeville WI 53533 Telephone: (608) 935-2776 Fax: (608) 935-3174 [email protected] Assessment Charge: $350.00 Assessment Fee $150.00 IDP Failed Appointment $25.00 Other Failed Appointment




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IRON COUNTY Designated Coordinator: Carolyn Kolson-Janov Iron County Dept. of Human Services Courthouse 300 Taconite St., Suite 201 Hurley WI 54534 Telephone: (715) 561-3636 Fax: (715) 561-2128 [email protected] Assessment Facility Contact: Iron County Dept. of Human Services Courthouse 300 Taconite St., Suite 201 Hurley WI 54534 Telephone: (715) 561-3636 Fax: (715) 561-2128 Assessment Charge: $200.00 Assessment Fee (Must be paid by cash or money order before an assessment appointment can be scheduled



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JACKSON COUNTY Designated Coordinator: Jessica Andre Jackson County Health and Human Services Department 420 Hwy 54 West P.O. Box 457 Black River Falls WI 54615 Telephone: (715) 284-4301 Fax: (715) 284-7713 [email protected] Assessment Facility Contact: Karla Gearing Jackson County Health and Human Services Department 420 Hwy 54 West P.O. Box 457 Black River Falls WI 54615 Telephone: (715) 284-4301 Fax: (715) 284-7713 [email protected] Assessment Charge: $275.00 OWI Fee $50.00 Rescheduling fee $50.00 Amendment fee




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JEFFERSON COUNTY Designated Coordinator: Holly Pagel, Outpatient Clinic Supervisor Jefferson County Human Services Department 1541 Annex Road Jefferson WI 53549 Telephone: (920) 674-3105 Fax: (920) 674-6113 [email protected] Assessment Facility Contact: Jenna Riggs Lead IDP Assessor Jefferson County Human Services Department 1541 Annex Road Jefferson WI 53549 Telephone: (920) 674-3105 Fax: (920) 674-6113 [email protected] Assessment Charge: $295.00 Assessment and Driver Safety Plan Fee $145.00 Missed Appointment Fee $95.00 Amended Paperwork Fee $93.00 Extension of Driver Safety Plan $110.00 Reinstatement of Driver Safety Plan from non-compliance to compliance $140.00 Transfer of paperwork to or from another county $250.00 Out of State packets




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JUNEAU COUNTY Designated Coordinator: Lynne Jindrick Juneau County Department of Human Services Courthouse Annex 220 East La Crosse Street Mauston WI 53948 Telephone: (608) 847-2400 Fax: (608) 847-9421 [email protected] Assessment Facility Contact: Lynne Jindrick Juneau County Department of Human Services Courthouse Annex 220 East La Crosse Street Mauston WI 53948 Telephone: (608) 847-2400 Fax: (608) 847-9421 [email protected] Assessment Charge: $275.00 Assessment Fee ($50.00 non-refundable deposit at time of scheduling) $50.00 Transfer Fee




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KENOSHA COUNTY Designated Coordinator: Guida Brown Hope Council 5942 6th Avenue Kenosha WI 53140 Telephone: (262) 658-8166 Fax: (262) 658-8210 [email protected] Assessment Facility Contact: Yazlyn Perez Hope Council 5942 6th Avenue Kenosha WI 53140 Telephone: (262) 658-8166 Fax: (262) 658-8210 [email protected] Assessment Charge $255.00 Assessment Fee $135.00 Biomarker Fee for drivers with 3 or more offenses $50.00 No Show/Rescheduling without 24 hour notice (first time) $75.00 No Show/Rescheduling without 24 hour notice (second time) $100.00 No Show/Rescheduling without 24 hour notice (third or more times) $50.00 Non-Compliance Fee after 14 days $25.00 No Show for Victim Impact Panel Additional fees apply for direct biomarker testing




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KEWAUNEE COUNTY Designated Coordinator: Scott R. Gartzke Kewaunee County Department of Human Services 810 Lincoln Street Kewaunee WI 54216 Telephone: (920) 388-7033 Fax: (920) 388-7044 [email protected] Assessment Facility Contact: Scott R. Gartzke Kewaunee County Department of Human Services 810 Lincoln Street Kewaunee WI 54216 Telephone: (920) 388-7033 Fax: (920) 388-7044 [email protected] Assessment Charge: $275.00 Assessment Fee $125.00 Amended Driver Safety Plan Fee $75.00 Driver Safety Plan Extension Fee $150.00 Updated Assessment Fee $100.00 Reinstatement Fee $150.00 Missed Appointment Fee $50.00 Paperwork Transfer Fee




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Lac du Flambeau Lake Superior Chippewa Indians This assessment agency is available only to tribal members and their families

Designated Coordinator: Patrick Day Family Resource Center 533 Peace Pipe Road Lac du Flambeau WI 54538 Telephone: (715) 588-1511 [email protected] Assessment Facility Contact: Patrick Day Family Resource Center 533 Peace Pipe Road Lac du Flambeau WI 54538 Telephone: (715) 588-1511 [email protected] Assessment Charge: $250.00 Assessment Fee $100.00 No Show Fee $100.00 Late/cancellation Fee $50.00 Amended/extended DSP Fee



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Lac Courte Oreilles Community Health Center This assessment agency is available only to tribal members and their families

Designated Coordinator: Jenny Ingram Lac Courte Oreilles Community Health Center 13380 W. Trepania Road Hayward WI 54843 Telephone: (715) 638-5100 Fax: (715) 634-6107 Assessment Facility Contact: Jenny Ingram Lac Courte Oreilles Community Health Center 13380 W. Trepania Road Hayward WI 54843 Telephone: (715) 638-5100 Fax: (715) 634-6107 Assessment Charge: $150.00 OWI Assessment $50.00 No Show for Appt $150.00 Out of State Assessment $50.00 Late Cancellation $50.00 Amended/Extended DSP $25.00 Update for Prior OWIs $50.00 DOT Non-compliance/Reinstatement


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LA CROSSE COUNTY Designated Coordinator: Becky Spanjers, Justice Support Services Supervisor La Crosse County Human Services Justice Support Services 333 Vine Street, Room 740 La Crosse WI 54601 Telephone: (608)789-4895 Fax: (608) 793-6562 [email protected] Assessment Facility Contact: Becky Spanjers, Justice Support Services Supervisor La Crosse County Human Services Justice Support Services 333 Vine Street, Room 740 La Crosse WI 54601 Telephone: (608) 784-4357 Fax: (608) 793-6562 [email protected] Assessment Charge $350.00 Assessment Fee




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LAFAYETTE COUNTY Designated Coordinator: Shane Schuhmacher, Director Lafayette County Human Services P.O. Box 130 15701 County Road K; Lower Level Darlington WI 53530 Telephone: (608) 776-4800 Fax: (608) 776-4914 [email protected] Assessment Facility Contact: Nicole Kaiser Lafayette County Human Services Department P.O. Box 130 15701 County Road K; Lower Level Darlington WI 53530 Telephone: (608) 776-4800 Fax: (608) 776-4914 [email protected] Assessment Charge: $300.00 OWI Assessment Fee $300.00 IDP Failed Appointment Fee $50.00 Amended/Non-compliance/Extension Fee $25.00 Other Failed Appointment Fee






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LANGLADE COUNTY Designated Coordinator: Janelle Hintz North Central Health Care 1225 Langlade Road Antigo WI 54409 Telephone: (715) 848-4600 Fax: (715) 627-6645 [email protected] Assessment Facility Contact: Laurie Hines North Central Health Care 1100 Lake View Drive Wausau WI 54403 Telephone: (715) 848-4600 Fax: (715) 845-6050 [email protected] Assessment Charge: $215.00 Assessment Fee $57.00 Failed Appointment


mailto:@norcen.org


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LINCOLN COUNTY Designated Coordinator: Janelle Hintz North Central Health Care – Merrill Center 607 North Sales St. Merrill WI 54452 Telephone: (715) 848-4600 Fax: (715) 539-2972 [email protected] Assessment Facility Contact: Laurie Hines North Central Health Care 1100 Lake View Drive Wausau WI 54403 Telephone: (715) 848-4600 Fax: (715) 845-6050 [email protected] Assessment Charge: $215.00 Assessment Fee $57.00 Failed Appointment

mailto:@norcen.org



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MANITOWOC COUNTY Designated Coordinator: Gary Daehn Manitowoc County Human Services Department 926 South 8th Street P.O. Box 1177 Manitowoc WI 54221-1177 Telephone: (920) 683-4230 Fax: (920) 683-4243 [email protected] Assessment Facility Contact: Gary Daehn Manitowoc County Human Services Department 926 South 8th Street P.O. Box 1177 Manitowoc WI 54221-1177 Telephone: (920) 683-4230 Fax: (920) 683-4243 [email protected] Assessment Charge: $250.00 Assessment Fee $150.00 Failed Appointment $50.00 Extension Fee $50.00 Amendment Fee




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MARATHON COUNTY Designated Coordinator: Janelle Hintz North Central Health Care 1225 Langlade Road Antigo WI 54409 Telephone: (715) 848-4600 Fax: (715) 627-6645 [email protected] Assessment Facility Contact: Laurie Hines North Central Health Care 1100 Lake View Drive Wausau WI 54403 Telephone: (715) 848-4600 Fax: (715) 845-6050 [email protected] Assessment Charge: $165.00 Assessment Fee $57.00 Failed Appointment



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MARINETTE COUNTY Designated Coordinator: Steve Crossman Marinette County Human Services Department 2500 Hall Avenue Marinette WI 54143 Telephone: (715) 732-7760 Fax: (715) 732-7711 [email protected] Assessment Facility Contact: Steve Crossman Marinette County Human Services Department 2500 Hall Avenue Marinette Wisconsin 54143 Telephone: (715) 732-7760 Fax: (715) 732-7711 [email protected] Assessment Charge: $250.00 Assessment Fee $250.00 Failed Appointment / Reschedule Fee $100.00 Amendment Fee




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MARQUETTE COUNTY Designated Coordinator: Mandy Stanley Marquette County Human Services 480 Underwood Avenue P.O. Box 405 Montello WI 53949 Telephone: (608) 297-3124 Fax: (608) 297-8718 [email protected] Assessment Facility Contact: Jim Webb Marquette County Human Services-Clinical Services 480 Underwood Avenue P.O. Box 405 Montello WI 53949 Telephone: (608) 297-3181 Fax: (608) 297-2148 [email protected] Assessment Charge: $250.00 Assessment Fee ($100 Deposit) $100.00 Failed Appointment (Loss of Deposit) $65.00 Amend Driver Safety Plan




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MENOMINEE COUNTY Designated Coordinator: Amy Zimmer, Program Manager Menominee County Health and Human Services Department W3272 Wolf River Road P.O. Box 280 Keshena WI 54135 Telephone: (715) 799-3861 Fax: (715) 799-3517 [email protected] Assessment Facility Contact: Amy Zimmer, Program Manager Menominee County Health and Human Services Department W3272 Wolf River Road P.O. Box 280 Keshena WI 54135 Telephone: (715) 799-3861 Fax: (715) 799-3517 [email protected] Assessment Charge: $220.00 Assessment Fee State IDP $200.00 Assessment Fee Tribal IDP $220.00/200.00 Failed Appointment $50.00 Driver Safety Plan Amendment Fee $25.00 Cancellation Fee




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MILWAUKEE COUNTY Designated Coordinator: Patricia Gutierrez Impact, Inc. 6737 West Washington Street, Suite 2225 West Allis WI 53214 Telephone: (414) 443-6000 (Appointments) Telephone: (414) 256-4808 (General Information) Fax: (414) 771-4808 [email protected] Assessment Facility Contact: Patricia Gutierrez Impact, Inc. 6737 West Washington Street, Suite 2225 West Allis WI 53214 Telephone: 414-256-4808 Telephone: 414-443-6000 (Appointments) Fax: 414-771-4808 [email protected] Assessment Charge: $295.00 Wisconsin Resident OWI Fee $145.00 Failed Appointment (Non-Wisconsin residents: call the Appointment Desk for more information)




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MONROE COUNTY Designated Coordinator: Lori Svendsen Monroe County Department of Human Services 112 South Court Street, Room 3000 Sparta WI 54656 Telephone: (608) 269-8600 Fax: (608) 269-8935 [email protected] Assessment Facility Contact: Lori Svendsen Monroe County Department of Human Services 112 South Court Street, Room 3000 Sparta WI 54656 Telephone: (608) 269-8600 Fax: (608) 269-8935 [email protected] Assessment Charge: $320.00 Assessment Fee (Paid prior to scheduling) $50.00 Failed Appointment $160.00 Redevelopment of Driver Safety Plan




52

OCONTO COUNTY Designated Coordinator: Julie Whitworth Oconto County Department of Health and Human Services 501 Park Avenue Oconto WI 54153 Telephone: (920) 834-7000 Fax: (920) 834-6889 [email protected] Assessment Facility Contact: Barb Rasmussen Oconto County Department of Health and Human Services 501 Park Avenue Oconto WI 54153 Telephone: (920) 834-7000 Fax: (920) 834-6889 [email protected] Assessment Charge: $240.00 Assessment Fee




53

ONEIDA COUNTY Designated Coordinator: Donna M. Shimeck, MA, LCSW The Human Service Center Forest / Oneida / Vilas County 705 East Timber Drive P.O. Box 897 Rhinelander WI 54501-0897 Telephone: (715) 369-2215 x1256 Fax: (715) 369-2214 [email protected] Assessment Facility Contact: Jodi Baker, SAC, IDP-AT The Human Service Center Forest / Oneida / Vilas County 705 East Timber Drive P.O. Box 897 Rhinelander WI 54501-0897 Telephone: (715) 369-2215 x1229 Fax: (715) 369-2214 [email protected] Assessment Charge: $250.00 Assessment Fee $125.00 Failed Appointment/Late Cancellation $50.00 Amendment




54

OUTAGAMIE COUNTY Designated Coordinator: Brian Bezier, Psy.D Outagamie County Health & Human Services 401 South Elm Street Appleton WI 54911 Telephone: (920) 832-5270 Fax: (920) 832-5488 [email protected] Assessment Facility Contact: Carrie Kubasta Theda Care Behavioral Health Services 1095 Midway Road Menasha WI 54952 Telephone: (920) 720-3736 Fax: (920) 720-3719 Assessment Charge: $250.00 Assessment Fee $115.00 Failed Appointment $115.00 Amend Driver Safety Plan $115.00 Remove Status of Non-Compliance



55

OZAUKEE COUNTY Designated Coordinator: Leah Bruce Ozaukee County Department of Human Services 121 West Main Street Port Washington WI 53074-0994 Telephone: (262) 284-8200 Fax: (262) 284-8104 [email protected] Assessment Facility Contact: Vicki Kaas Ozaukee County Department of Human Services 121 West Main Street Port Washington WI 53074-0994 Telephone: (262) 284-8143 Fax: (262) 284-8104 [email protected] Assessment Charge: $255.00 Paid by credit Card $125.00 No Show Fee $125.00 Reassessment Fee $75.00 Amended Assessment Fee $75.00 Transfer or Reassessment Fee




56

PEPIN COUNTY Designated Coordinator: Robin Phillips Pepin County Department of Human Services 740 7th Avenue West Durand WI 54736 Telephone: (715) 672-8941, Ext 157 Fax: (715) 672-8593 [email protected] Assessment Facility Contact: Pam Haukeness, Director Arbor Place 320 21st Street NE Menomonie WI 54751 Telephone: (715) 235-4537 Fax: (715) 235-4535 [email protected] Assessment Charge: $225.00 OWI Assessment Fee $200.00 Failed Appointment / No Show $112.50 Late Canceled Fee (less than 72 hours)




57

PIERCE COUNTY Designated Coordinator: Ron Kiesler Pierce County Department of Human Services 412 West Kinne Street P.O. Box 670 Ellsworth WI 54011 Telephone: (715) 273-6770 Fax: (715) 273-6862 [email protected] Assessment Facility Contact: Reggie Christiansen Pierce County Department of Human Services 412 West Kinne Street P.O. Box 670 Ellsworth WI 54011 Telephone: (715) 273-6770 Fax: (715) 273-6862 [email protected] Assessment Charge: $329.00 Assessment Fee $329.00 No Show/Late Cancellation (less than 48 hours) $129.00 2nd Appointment No Show/Late Cancellation (less than 48 hours) $129.00 Plan Revision $65.00 Monitoring/Tracking Fee $32.00 Plan Extension Fee $65.00 Final Report Fee




58

POLK COUNTY Designated Coordinator: Gary Ehrich Polk County Behavioral Health Services 100 Polk Plaza, Suite 50 Balsam Lake WI 54810 Telephone: (715) 485-8402 Fax: (715) 485-8450 [email protected] Assessment Facility Contact: Gary Ehrich Polk County Behavioral Health Services 100 Polk Plaza, Suite 50 Balsam Lake WI 54810 Telephone: (715) 485-8402 Fax: (715) 485-8450 [email protected] Assessment Charge: $300.00 Assessment Fee $300.00 No-Show or Canceled With Less Than 24 Hours Notice, Forfeit Fee




59

PORTAGE COUNTY Designated Coordinator: Amy Marcott Portage County Health and Human Services 817 Whiting Avenue Stevens Point WI 54481 Telephone: (715) 345-5810 Fax: (715) 345-5966 [email protected] Assessment Facility Contact: Jessica Hake Portage County Health and Human Services 817 Whiting Avenue Stevens Point WI 54481 Telephone: (715) 343-6319 Fax: (715) 345-5966 [email protected] Assessment Charge: $250.00 Assessment Fee ($100.00 Deposit) $100.00 Failed Appointment (Loss of Deposit) $50.00 Amendment and/or Extension Fee




60

PRICE COUNTY Designated Coordinator: Kathy Billek Price County Dept. of Human Services 104 South Eyder Avenue Phillips WI 54555 Telephone: (715) 339-2158 Fax: (715) 339-4018 [email protected] Assessment Facility Contact: Arlene Eslinger Community Counseling Services 16947 County Hwy X Chippewa Falls WI 54729 Telephone: (715) 723-1221 Fax: (715) 738-1214 [email protected] Assessment Charge: $225.00 Assessment Fee $100.00 Failed Appointment




61

RACINE COUNTY Designated Coordinator: Kevin Lunog, LCSW, CSAC Behavioral Health Services of Racine County Racine County Human Services Department 1717 Taylor Avenue Racine WI 53403 Telephone: (262) 638-6711 Fax: (262) 638-6540 [email protected] Assessment Facility Contact: Kevin Lunog, LCSW, CSAC Behavioral Health Services of Racine County Racine County Human Services Department 1717 Taylor Avenue Racine WI 53403 Telephone: (262) 638-6711 Fax: (262) 638-6540 [email protected] Assessment Charge: $250.00 Assessment Fee




62

RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWA This assessment facility is available only to tribal members and their families

Designated Coordinator: James Peacock Mishomis Wellness Center 37390 North Bardum Road Bayfield, WI 54814 Telephone: (715) 779-3741 Fax: (715) 779-3742 [email protected]

Assessment Facility Contact:

James Peacock Mishomis Wellness Center 37390 North Bardum Road Bayfield, WI 54814 Telephone: (715) 779-3741 Fax: (715) [email protected] Assessment Charge: $175.00 Assessment Fee $50.00 Rescheduling Fee $25.00 No Show Fee $25.00 Reinstatement Fee


63

RICHLAND COUNTY


Myranda Culver, Clinic Coordinator Richland County Health and Human Services 221 W. Seminary Street Richland Center, WI 53581 Telephone: (608) 649-5792 Fax: (608) 647-6611 [email protected] Assessment Facility Contact: Myranda Culver, Clinical Coordinator Richland County Health and Human Services 221 W. Seminary Street Richland Center, WI 53581 Telephone: (608) 647-8821 Fax: (608) 647-6611 [email protected] Assessment Charge: $297.00 Assessment Fee $20.00 Failed Appointment $55.00 Amend Driver Safety Plan




64

ROCK COUNTY


Tiffany Minguey, LPC, CSAC, NCC Rock County Human Services Department 303 W Court St., Upper Level P.O. Box 1649 Janesville WI 53547-1649 Telephone: (608) 743-2402 Fax: (608) 743-2406 [email protected] Assessment Facility Contact: Tiffany Minguey, LPC, CSAC, NCC Rock County Human Services Department 303 W Court St., Upper Level P.O. Box 1649 Janesville WI 53547-1649 Telephone: (608) 743-2402 Fax: (608) 743-2406 [email protected] Assessment Charge: $300.00 Assessment Fee $110.00 Failed Appointment $110.00 Amend Driver Safety Plan

mailto:@co.rock.wi.us



65

RUSK COUNTY Designated Coordinator: Jeremy Jacobs Rusk County Health and Human Services 311 East Miner Ave., Suite C240 Ladysmith WI 54848 Telephone: (715) 532-2299 Fax: (715) 532-2126 [email protected] Assessment Facility Contact: Arlene Eslinger Community Counseling Services 16947 County Hwy X Chippewa Falls WI 54729 Telephone: (715) 723-1221 Fax: (715) 738-1214 [email protected] Assessment Charge: $225.00 Assessment Fee $100.00 Failed Appointment



66

ST CROIX COUNTY Designated Coordinator: Kristin DePrey St Croix County Health and Human Services 1752 Dorset Lane New Richmond WI 540171063 Telephone: (715) 246-6991 Fax: (715) 246-8284 [email protected] Assessment Facility Contact: Mel Solsvig St Croix County Health and Human Services 1752 Dorset Lane New Richmond WI 54017-1063 Telephone: (715) 246-6991 Fax: (715) 246-8284 Assessment Scheduling: (715) 246-8255 [email protected] Assessment Charge: $380.00 Assessment Fee $380.00 No Show/Late Cancellation $180.00 Amendment to Driver Safety Plan $180.00 Plan extension to complete Driver Safety Plan $180.00 Final Report $45.00 Plan Extension for payment of treatment fees $45.00 Out-of-State Referral




67

SAUK COUNTY Designated Coordinator: Jessica Bellard, IDP Coordinator Sauk County Human Services P.O. Box 29 Baraboo, WI 53913 Telephone: (608) 355-4292 Fax: (608) 355-4299 [email protected] Assessment Facility Contact: Goodman’s Behavioral Health Clinic2213 East Main StreetReedsburg, WI 53959Telephone: (608) 768-4545Fax: (608) 768-4646 Assessment Charge: $275.00 Assessment Fee ($75.00 Non-Refundable Deposit)



68

SAWYER COUNTY Designated Coordinator: Paul Grahovac, Program Director Sawyer County Human Services 10610 Main St., Suite 224 Hayward WI 54843 Telephone: (715) 634-4806 Ext 2334 Fax: (715) 634-3580 [email protected] Assessment Facility Contact: Joe Bodo, Program Coordinator Sawyer County Human Services 10610 Main St., Suite 224 Hayward WI 54843 Telephone: (715) 634-4806 Ext 2317 Fax: (715) 634-3580 [email protected] Assessment Charge: $200.00 Assessment Fee ($100.00 down to schedule, remaining $100.00 due at appointment) $50.00 No Show/Late cancel Fee $50.00 Amendment Fee




69

SHAWANO COUNTY Designated Coordinator: Olivia Rosenow Shawano County Department of Human Services Lakeland Center 504 Lakeland Road Shawano WI 54166 Telephone: (715) 524-6812 Fax: (715) 526-5542 [email protected] Assessment Facility Contact: Olivia Rosenow Shawano County Department of Human Services Lakeland Center 504 Lakeland Road Shawano WI 54166 Telephone: (715) 524-6812 Fax: (715) 526-5542 [email protected] Assessment Charge: $230.00 Assessment Fee $230.00 Cancellation Fee (without 48 hours notice) $230.00 Failed Appointment (15 minutes late) $100.00 Amended Driver Safety Plan




70

SHEBOYGAN COUNTY Designated Coordinator: Linda Knebel, Coordinator Outpatient Services Sheboygan County Human Services Department 1011 North 8th Street Sheboygan WI 53081 Telephone: (920) 459-6414 Fax: (920) 459-4353 [email protected] Assessment Facility Contact: Deb Althen, IDP Assistant Outpatient Services Sheboygan County Human Services Department 1011 North 8th Street Sheboygan WI 53081 Telephone: (920) 459-4323 Fax: (920) 459-4353 [email protected] Assessment Charge: $250.00 Assessment Fee (Forfeit fee if a no-show)




71

STOCKBRIDGE MUNSEE HEALTH AND WELLNESS CENTER This assessment agency is available only to tribal members and their families Designated Coordinator: Lisa Mohawk Stockbridge Munsee Health and Wellness Center W12802 County Highway A Bowler, WI 54416 Telephone: (715) 793-3000 [email protected] Assessment Facility Contact: Lisa Mohawk Stockbridge Munsee Health and Wellness Center W12802 County Highway A Bowler, WI 54416 Telephone: (715) 793-3000 [email protected] Assessment Charge: $200 Assessment Fee $200 No Show Fee $25.00 Late/Cancellation $50.00 Amended/extended DSP




72

TAYLOR COUNTY Designated Coordinator: Jen Meyer Taylor County Human Services Department 540 East College St. Medford WI 54451 Telephone: (715) 748-3332 Fax: (715) 748-3342 [email protected] Assessment Facility Contact: Jen Meyer Taylor County Human Services Dept. 540 East College St. Medford WI 54451 Telephone: (715) 748-3332 Fax: (715) 748-3342 [email protected] Assessment Charge: $300.00 Assessment Fee $110.00 Amend Driver Safety Plan or Extension $135.00 Compliance Reinstatement $75.00 Out-of-County Transfer




73

TREMPEALEAU COUNTY Designated Coordinator: Debra Suchla Trempealeau County Department of Human Services County Courthouse P.O. Box 67 Whitehall WI 54773 Telephone: (715) 538-2311 x290 Fax: (715) 538-4274 [email protected] Assessment Facility Contact: Nicole Borreson West Central Behavioral Health 23062 Whitehall Road Independence WI 54747 Telephone: (866) 805-0304 Fax: (715) 985-3029 [email protected] Assessment Charge: $270.00 Assessment Fee




74

VERNON COUNTY Designated Coordinator: Jill Bender Vernon County Human Services 318 Fairlane Drive, Suite 100 Viroqua WI 54665 Telephone: (608) 637-5210 Fax: (608) 637-5505 [email protected] Assessment Facility Contact: Cacy Winker Family & Children’s Center 1321 North Main Street P.O. Box 149 Viroqua WI 54665 Telephone: (800) 944-7856 Telephone: (608) 637-7052 Fax: (608) 637-8500 [email protected] Assessment Charge: $275.00 Assessment Fee (due prior to appointment) $50.00 Failed Appointment / No-Show $50.00 Non-Compliance Fee $50.00 4 Month Extension Fee


mailto:@fccnetwork.org


75

VILAS COUNTY Designated Coordinator: Donna M. Shimeck, MA, LCSW The Human Service Center Forest / Oneida / Vilas County 705 East Timber Drive P.O. Box 897 Rhinelander WI 54501-0897 Telephone: (715) 369-2215 x1256 Fax: (715) 369-2214 [email protected] Assessment Facility Contact: Jodi Baker, SAC, IDP-AT The Human Service Center Forest / Oneida / Vilas County 705 East Timber Drive P.O. Box 897 Rhinelander WI 54501-0897 Telephone: (715) 369-2215 x1229 Fax: (715) 369-2214 [email protected] Assessment Charge: $250.00 Assessment Fee $100.00 Failed Appointment/Late Cancellation $50.00 Amendment




76

WALWORTH COUNTY Designated Coordinator: Jackie Rupnik Walworth County Health and Human Services W4051 County Road NN P.O. Box 1005 Elkhorn WI 53121-1005 Telephone: (262) 741-3200 Fax: (262) 741-3299 [email protected] Assessment Facility Contact: Cathy Griffith Walworth County Health and Human Services W4051 County Road NN P.O. Box 1005 Elkhorn WI 53121-1005 Telephone: (800) 365-1587 Telephone: (262) 741-3200 Fax: (262) 741-3299 [email protected] Assessment Charge: $275.00 Assessment Fee $40.00 Failed Appointment $100.00 Multiple assessment fee (for each additional assessment completed at one time) $75.00 Amend Driver Safety Plan




77

WASHBURN COUNTY Designated Coordinator: Marie Schankel Washburn County Health and Human Services Department P.O. Box 250 Shell Lake WI 54871 Telephone: (715) 468-4734 Fax: (715) 468-4674 [email protected] Assessment Facility Contact: Arlene Eslinger Community Counseling Services 16947 County Hwy X Chippewa Falls WI 54729 Telephone: (715) 723-1221 Fax: (715) 738-1214 [email protected] Assessment Charge: $225.00 Assessment Fee $100.00 Failed Appointment



78

WASHINGTON COUNTY Designated Coordinator: Jackie Moglowsky, Behavioral Health Manager Washington County Human Services Department 333 East Washington Street W., Suite 2100 West Bend WI 53095-2585 Telephone: (262) 335-4825 Fax: (262) 335-6827 [email protected] Assessment Facility Contact: Mary Simon Elevate, Inc. W169N21005 Meadow Lane Jackson WI 53037 Telephone: (262) 677-2249 Fax: (262) 677-2124 [email protected] Assessment Charge: $265.00 Assessment Fee $130.00 Amend Driver Safety Plan $130.00 Reinstatement Fee $130.00 Extend Driver Safety Plan




79

WAUKESHA COUNTY Designated Coordinator: John Kettler Waukesha County Health and Human Services 514 Riverview Avenue Waukesha WI 53188 Telephone: (262) 548-7666 Fax: (262) 548-7656 [email protected] Assessment Facility Contact: Bernie Mangers Addiction Resource Council 741 N. Grand Avenue, Suite 200 Waukesha WI 53186 Telephone: (262) 524-7921 Fax: (262) 524-7932 [email protected] Assessment Charge: $250.00 Assessment Fee $100.00 No show/Reschedule Fee$50 Noncompliance Fee $50.00 Extend Driver Safety Plan $25.00 NSF




80

WAUPACA COUNTY Designated Coordinator: Rebecca “Becky” Green Waupaca County Department of Health and Human Services 811 Harding Street Waupaca WI 54981-2087 Telephone: (715) 258-6287 Fax: (715) 258-6409 [email protected] Assessment Facility Contact: IDP Secretary Waupaca County Department of Health and Human Services 811 Harding Street Waupaca WI 54981-2087 Telephone: (715) 258-6304 Fax: (715) 258-6409 [email protected] Assessment Charge: $250.00 Assessment Fee $250.00 Voluntary Client Fee $100.00 Failed Appointment $100.00 Late Fee $120.00 Amend / Extend Driver Safety Plan

mailto:@co.waupaca.wi.us

mailto:@co.waupaca.wi.us


81

WAUSHARA COUNTY Designated Coordinator: Sue Shemanski Waushara County Department of Human Services 230 West Park Street P.O. Box 1230 Wautoma WI 54982 Telephone: (920) 787-6550 Fax: (920) 787 0421 [email protected] Assessment Facility Contact: Sue Shemanski Waushara County Department of Human Services 230 West Park Street P.O. Box 1230 Wautoma WI 54982 Telephone: (920) 787-6550 Fax: (920) 787 0421 [email protected] Assessment Charge: $200.00 Assessment Fee $100.00 Failed Appointment $50.00 Extend Driver Safety Plan




82

WINNEBAGO COUNTY Designated Coordinator: Michael Daehn, Ph.D., Chief Psychologist/Clinical Supervisor Winnebago County Department of Human Services 220 Washington Avenue Oshkosh WI 54903-2187 Telephone: (920) 236-4722 Fax: (920) 236-1269 [email protected] Assessment Facility Contact: IDP Secretary Winnebago County Department of Human Services 220 Washington Avenue Oshkosh WI 54903 Telephone: (920) 236-4734 to schedule an appointment Fax: (920) 236-1269 Assessment Charge: $250.00 Assessment Fee $125.00 Failed Appointment $125.00 Amend Driver Safety Plan



83

WOOD COUNTY Designated Coordinator: Sue Schueler-Sheveland, AODA/MH Clinic Manager Wood County Human Services Department 2611 12th St. South Wisconsin Rapids WI 54494 Telephone: (715) 421-8840 Fax: (715) 421-2266 [email protected] Assessment Facility Contact: Jen Borchardt, LCSW, CSAC Wood County Human Services Department 2611 12th St. South Wisconsin Rapids WI 54494 Telephone: (715) 421-8840 Fax: (715) 421-2266 [email protected] Assessment Charge: $225.00 OWI Assessment fee $80.00 Failed Appointment $85.00 Amend Driver Safety Plan



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