Get Wi Be-004 2020-2025

The WI BE-004 form is essential for individuals who need to provide medical information related to their bar application. This guide will walk you through the process of completing the form online, step-by-step, ensuring clarity and ease of use.

Follow the steps to fill out the WI BE-004 form online.

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred digital editor.
2. Begin by entering your name in the designated fields for first, middle, and last name. Ensure accuracy for identification purposes.
3. Fill in the 'Dates of treatment' section by specifying the start and end dates using the format (mo/yr). This helps to clarify the timeline of your medical condition.
4. In the 'Describe the condition or problem' section, provide a detailed description of your medical condition and any treatments or monitoring programs you underwent. If needed, attach additional pages to offer complete information.
5. Enter the 'Attending health care professional' information, including their name and title. You will also need to provide their street address, city, state, and zip code.
6. List the name of the hospital or institution where you received treatment, along with its street address, city, and telephone number.
7. If applicable, detail any medications prescribed by your health care professional. You may attach additional pages if more space is needed.
8. Once you've completed all sections, be sure to review your form for accuracy. Save your changes, and you can then proceed to download, print, or share the form as needed.

Complete your documents online to ensure a smooth submission process.