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Western Wisconsin Cares Member Record of Health Care Provider Visit (for use of all medical, dental, behavioral health appointments) ATTENTION: Adult Family Home Prior to Appointment: Complete this
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The Western Wisconsin Cares record is a document used to report information about individuals receiving care services in Western Wisconsin.
Providers of care services in Western Wisconsin are required to file the Western Wisconsin Cares record.
To fill out the Western Wisconsin Cares record, providers must accurately report the required information about the individuals receiving care services.
The purpose of the Western Wisconsin Cares record is to track and monitor the care services provided to individuals in Western Wisconsin.
Providers must report information such as the type of care services provided, the individuals receiving the services, and the duration of care.
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