Instructions for Discontinuation of Services Form - Personal Care Services Program - West Virginia

This document was released by West Virginia Department of Health and Human Resources and contains the most recent official instructions for Discontinuation of Services Form - Personal Care Services Program .

FAQ

Q: What is the Discontinuation of Services Form for?
A: The Discontinuation of Services Form is used to terminate personal care services in the Personal Care Services Program in West Virginia.

Q: Who can use the Discontinuation of Services Form?
A: This form is used by individuals who want to discontinue personal care services in the program.

Q: What information is required on the Discontinuation of Services Form?
A: The form typically requires information such as the individual's name, address, program identification number, reason for discontinuation, and the date services should be terminated.

Q: Is there a deadline for submitting the Discontinuation of Services Form?
A: There is no specific deadline mentioned for submitting the form, but it is recommended to notify the program as soon as possible to avoid any issues.

Q: What happens after submitting the Discontinuation of Services Form?
A: After submitting the form, the program will process the request and terminate the personal care services accordingly.

Instruction Details:

This 2-page document is available for download in PDF;
Actual and applicable for the current year;
Complete, printable, and free.

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