Home Medical Oxygen Provider

License Information

Per Wis. Stat. § 450.076, the required renewal date for the Medical Oxygen Provider credential is 05/31/even years.  Should you receive your initial credential in the months leading up to this date, you are still required to renew your license by the statutorily defined date.

Effective May 1, 2015, all providers of home medical oxygen must be licensed by the Department (§450.076). 

In order to obtain a Home Medical Oxygen Provider license, an applicant must be  accredited by an approved organization (see the application below for a list of approved organizations).

Application for Licensure

3075Application For Home Medical Oxygen Provider
2252​Convictions and Pending Charges
3071​Fax Payment Form

Renewal Information


  • FEE (See Renewal Dates and Fees)
  • SIG (Signature regarding the Accrediting Organization)

Important Notice:  Please check the DSPS website for the latest rule changes. (Follow the Statutes and Administrative Code link in the sidebar.)

Renewal Methods

  • Online Log In: License Renewal Online
  • Request a Paper Renewal Form: (888) 506‑4239 or (608) 261‑4460 for the Madison area
RDAFRenewal Dates and Fees
R210​​Active Duty/Discharge Renewal Extension Form

Wisconsin Act 210 (effective June 1, 2012)

This Act extends the license of a service member if the license expires while they are on active duty from 90 days to 180 days from the date of discharge. The same applies to a spouse of a service member if the spouse does not practice under their license while the service member is on active duty and does not practice because the service member is on active duty.

This Act repeals a provision of prior law that required a service member to meet all of the requirements for license extension or renewal, except for continuing education requirements, in order to have the license extended.

Service members and spouses may request extensions of licenses beyond 180 days from discharge and may request a waiver or extension of time to complete continuing education requirements due to hardship. Please view Active Duty/Discharge Renewal Extension Form #R210.