Phone: (608) 757-5302     |     Fax: (608) 757-5341

IDP Registration Form

To expedite processing of your appointment, please print the IDP Registration Form and mail to the address below.

Attn: Intoxicated Driver Program
Rock County Health Care Center
3530 North Cty Trk Hwy F
PO Box 1649
Janesville, WI 53547