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West Virginia

West Virginia’s provider manual says documentation must be completed on a Direct-Support Service Log (WV-BMS-IDD-7). Of the fifty-one jurisdictions we checked it is the only one that requires a named form rather than leaving the page to you. This reproduces it, and the four questions below are the state’s own words. Their form is used when something out of the ordinary happens; we write one every shift, so you would be documenting more than the state asks, not less.

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Your own name, logo and colours go here. This is the real preview, the one the app uses.

Your Agency, LLC

Direct Support Progress Note

Name of Person Who Receives Services: Alexander RiveraMedicaid ID: ••••••••

Alex was observed asleep and resting comfortably at the start of the shift. Staff supported Alex in completing his morning routine with verbal prompts. Alex chose to walk to the corner shop, where he paid for his own item. There were no problems or concerns during shift.

West Virginia I/DD Waiver — Direct Support Progress Note

See it with your own name on it

The demo opens a sandbox with three fictional residents. Set West Virginia in Settings, add your logo, and print one. It asks you for nothing.

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