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Wv bms idd 7 direct support service forms 2011-2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering the Member Name and Service Coordination Agency at the top of the form. This information is crucial for identifying the individual receiving services.
- Fill in the Year and Month of Service, ensuring accuracy for record-keeping purposes.
- In the Service Name section, specify the type of service provided. Use the corresponding Service Code for clarity.
- Document total time per service on this page, including start and stop times. Ensure that Provider/Staff signatures are included where required.
- For progress notes, detail any significant observations regarding member performance or unusual occurrences during service delivery.
- Complete transportation logs by noting travel details, including starting and ending locations, along with reasons for travel that align with the member’s Individualized Plan.
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