Form F-62369 Waiver of Hospice or Home Health Services by a Terminally Ill Resident of a Community Based Residential Facility (Cbrf) - Wisconsin

What Is Form F-62369?

This is a legal form that was released by the Wisconsin Department of Health Services - a government authority operating within Wisconsin. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form F-62369?A: Form F-62369 is a waiver for hospice or home health services by a terminally ill resident of a Community Based Residential Facility (CBRF) in Wisconsin.

Q: Who can use Form F-62369?A: This form can be used by terminally ill residents of CBRFs in Wisconsin who wish to waive hospice or home health services.

Q: What is a Community Based Residential Facility (CBRF)?A: A Community Based Residential Facility (CBRF) is a residential facility in Wisconsin that provides care and services to individuals, typically the elderly, who need some assistance with daily activities.

Q: What does this form waiver?A: This form waives the hospice or home health services that would typically be provided to a terminally ill resident of a CBRF.

Q: Why would someone want to waive hospice or home health services?A: Someone may want to waive hospice or home health services if they have alternate arrangements for care or if they prefer not to receive these services.