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
221 - 231 of 231 forms
| Form Title | Topics |
|---|---|
| Update Employer Information | Employer Resource Center |
| Vivitrol PA form | Pharmacy |
| Wage Assignment Transmittal Form | Employer Resource Center |
| Workers Log | Tuberculosis Elimination |
| WV CAPS Enrollment Application | Provider |
| WV DHHR W9 | Provider |
| WV Dual Services Request | Approved Tbi Waiver, Employer Resource Center |
| WV Government Agency Grant Application Cover Page | Grant Financial |
| Xolair PA form | Pharmacy |
| X-Ray Clinic Record | Tuberculosis Elimination |
| X-Ray Record Card | Tuberculosis Elimination |
Contact Information & Office Locations
1 contact point
Headquarters
Address:
One Davis Square
Suite 100 East
Charleston, WV 25301
- (304) 558-0684
- (304) 558-1130