Get Service Provider Choice Form

Filling out the Service Provider Choice Form online is an essential process for individuals who need to select a service provider for home and community-based services. This guide provides clear and instructive steps to help you complete the form accurately and confidently.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to access the Service Provider Choice Form and open it for editing.
2. Begin by entering your personal information in the designated fields. Fill in your name, address, and county accurately.
3. Read through the rights and responsibilities section carefully. Ensure that you understand each statement about your service provider choice.
4. Acknowledge the statements by checking each box. This confirms your understanding of the rights and responsibilities related to your service provider selection.
5. If you have assistance, ensure that the person supporting you signs to confirm their participation in the process.
6. Once you have completed the main sections and signed the form where indicated, review all entries for accuracy.
7. After ensuring that all information is correct, you can save your changes, download, print, or share the completed form as needed.

Complete your Service Provider Choice Form online today to ensure your service needs are met.