West Virginia

                                          Click link on right for Adobe Sign or  PDF                                           
West Virginia CARES Self-Disclosure Application and Consent Form  Adobe Sign PDF

William R. Sharpe, Jr. Hospital – Weston, West Virginia

William R. Sharpe, Jr. Hospital, located in Weston, West Virginia and operating under the direction of the West Virginia Department of Health and Human Resources, was opened in 1994 and replaced the old Weston State Hospital. It is a 150-bed acute care psychiatric facility with full accreditation from The Joint Commission on Accreditation of Healthcare Organizations.

Sharpe Hospital offers a wide range of services to patients either committed to the hospital through civil commitment or, in the case of forensic patients, ordered through the judicial system. The hospital works closely with the Community Behavioral Health Centers and with other community organizations to ensure a smooth transition back to the community after discharge. The hospital has close, ongoing cooperation with University, Department of Behavioral Medicine & Psychiatry, which provides professionals from different backgrounds (Psychologists, Clinical Social Workers, Physician Assistants, and Psychiatrists) to the hospital. Over the years, Sharpe Hospital has emerged as a premier center for mental health education, as well as research, in the state of West Virginia.


                                          Click link on right for Adobe Sign or  PDF                                          
Respirator Medical Evaluation Questionnaire Adobe Sign PDF
Education Verification Form  Adobe Sign PDF
History and Physical Form  Adobe Sign PDF
MMR Declination Form  Adobe Sign PDF
Varicella Declination Form  Adobe Sign PDF
Protective Services Record Check Form  Adobe Sign PDF
Time sheet for Sharp Hospital  (PDF Only) PDF

Mildred Mitchell-Bateman Hospital – Huntington, West Virginia

Mildred Mitchell-Bateman Hospital, a state DHHR supported psychiatric hospital, is located in Huntington, West Virginia, USA. It is a training site for future health care professionals attending over twenty colleges and educational institutions in the tri-state area of southwestern West Virginia, southeastern Ohio, and northeastern Kentucky. Mildred Mitchell-Bateman Hospital provides on-site learning experiences for educating physicians, nurses, practical nurses, psychologists, counselors, health care administrators, technicians, and supportive services personnel. In 1988, Mildred Mitchell-Bateman Hospital was initially accredited by the Joint Commission on Accreditation of Healthcare Organizations, and certified by C.M.S (Medicare) in December 1990.

                                          Click link on right for Adobe Sign or  PDF                                           
History and Physical Form    Adobe Sign PDF

Hopemont Hospital – Terra Alta, West Virginia

Hopemont Hospital is a 98-bed licensed Medicaid-certified long-term care facility in Terra Alta, WV. The original building was developed to care for the state’s citizens with tuberculosis. It has operated as a Medicaid certified long-term nursing facility since 1987.

Hopemont’s talented and behaviorally-trained staff make it possible to accept for care and treatment, persons with behavioral disabilities, and those whom the private nursing facilities are unable to serve and treat.

                                          Click link on right for Adobe Sign or  PDF                                           
History and Physical Form  Adobe Sign PDF

Welch Community Hospital – Welch, West Virginia

Welch Community Hospital is the only acute care hospital in McDowell County. It is a crucial health care provider for the citizens of McDowell and many surrounding rural counties. This hospital provides a wide scope of care and services which includes a 65-bed acute care hospital, a 24/7, 365 days per year physician-staffed Emergency Room, a seven-bed ICU, diverse OB-GYN services, a full service Respiratory Therapy Cardiopulmonary Service, Laboratory, Radiology and Clinical Inpatient Pharmacy. The hospital also operates an outpatient Rural Health Clinic, a Surgery Clinic and CPR/ACLS Training Center. In addition to the acute care and outpatient services, the hospital also supports a 59-bed Long Term Care unit.

                                          Click link on right for   PDF                                                                       
Timesheet  (PDF Only) PDF