Department of Health and Human Resources

State of West Virginia

Official Website: http://dhhr.wv.gov

The West Virginia Department of Health and Human Resources (DHHR) provides a wide range of necessary and life-saving services to many West Virginia residents. We also work to protect our youngest and most vulnerable citizens, our children. Whether you need a birth certificate, Medicaid coverage or temporary assistance, we are ready and willing to help.

Forms & Documents

Browse all Department of Health and Human Resources government forms

141 - 160 of 231 forms

Form Title Topics
Personal Attendant Initial Annual Training Log Approved Tbi Waiver, Employer Resource Center
Personal Attendant Log (PAL) Full-Month Landscaped ADW Policy, ADW Policy
Personal Attendant Log (PAL) Landscaped 15th to 31st ADW Policy, ADW Policy
Personal Attendant Log (PAL) Landscaped 16th to 31st ADW Policy, ADW Policy
Personal Attendant Log (PAL) Landscaped 1st to 14th ADW Policy, ADW Policy
Personal Attendant Log (PAL) Landscaped 1st to 15th ADW Policy, ADW Policy
Personal Attendant Worksheet Approved Tbi Waiver, Employer Resource Center
Personal Options Assessment ADW Policy, ADW Policy
Personal Options Assessment ADW Policy, ADW Policy
Person-Centered Assessment ADW Policy, ADW Policy
Person-Centered Assessment ADW Policy, ADW Policy
Person-Centered Service Plan Addendum Approved Tbi Waiver, Employer Resource Center
Plan of Correction ADW Policy, ADW Policy
Plan of Correction Section I ADW Policy, ADW Policy
Plan of Correction Section II ADW Policy, ADW Policy
Potential Employee Criminal Record Provider
Provider Agency Change Request Approved Tbi Waiver, Employer Resource Center
Provider CIB-NCIC Waiver Request Provider
Provider Modification Request Provider
Provider Review Tool Approved Tbi Waiver, Employer Resource Center

Contact Information & Office Locations

1 contact point

Headquarters

Address:
One Davis Square
Suite 100 East
Charleston, WV 25301

Phone numbers:
  • (304) 558-0684
Fax numbers:
  • (304) 558-1130
Emails:
  • DHHRSecretary@wv.gov

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