West Virginia Report of Discharge of Patient is a form used to report a patient's discharge information in the state of West Virginia. This form is generally used by hospitals, nursing homes, and other long-term care facilities to provide details about a patient's discharge. The form includes information such as the patient's name, date of birth, date of discharge, diagnosis, treatments, medications, and other pertinent health information. There are two types of West Virginia Report of Discharge of Patient forms: the Long-Term Care Facility Report of Discharge of Patient and the Hospital Report of Discharge of Patient. Both forms serve to provide detailed information about the patient's discharge, but the Long-Term Care Facility Report of Discharge of Patient also includes additional information about the patient's stay such as the date of admission, the primary source of payment, and any transfers or referrals. Both forms are required to be completed and submitted to the West Virginia Department of Health and Human Resources.
West Virginia Report of Discharge of Patient
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How to fill out West Virginia Report Of Discharge Of Patient?
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